Middle School Mandarin Immersion Program

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Middle School Mandarin Immersion Trip

(San Francisco, CA / New York, NY / Chicago, IL)

1. Applicant's Name(Required)

First Middle Last

2. Date of Birth(Required)

3. Name of School(Required)

4. Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

5. Grade Level(Required)

6th

7th

8th

6. Gender(Required)

Male

Female

7. Email(Required)

8. Mobile Phone(Required)

9. Emergency Contact Information Guardian 1

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

10. Emergency Contact Information Guardian 2

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

11. Upload 500 Word Essay(Required)

Max. file size: 50 MB.

12. Recommendation Letter #1(Required)

Max. file size: 50 MB.

13. Recommendation Letter #2(Required)

Max. file size: 50 MB.