You are on page 1of 4
REGISTRATION FORM FOR FUNHOUSE E.CLUB GROUP LEADER Dao Duy Tu high school Part I. Candidate information Please provide your personal information by filling in the blank: Full name: Last Middle First Address: Number Street District City/Town Current class School Dao Duy Tu high school Gender M/F Home Phone Date of birth Cell Month Day Year Email address II. Foreign language proficiency Please provide your information by filling in the blank: Your English Grade Point Average: Page 1 of 4 Please rate your English proficiency from 1 to 5 (with 5 indicates the highest level) in the following areas: A. Speaking 1 2 3 4 5 B. Listening 1 2 3 4 5 C. Writing 1 2 3 4 5 - GPA (if available): - Please rate your language proficiency from 1 to 5 (with 5 indicates the highest level) in the following areas: A. Speaking 1 2 3 4 5 B. Listening 1 2 3 4 5 C. Writing 1 2 3 4 5 Please list up to 3 awards/prizes you have received in English 1. 2. 3. Page 2 of 4 Part III. Extra- curricular activities Please list up to 5 extra-curricular activities you have participated in following chart: Activity Dates of participation Positions held Part IV. Time you can spend with us Please be specific about the time you can spend with us in the following chart. If your schedule in a particular time is full, please leave it blank. Day Time Morning Afternoon Monday From: To: From: To: Tuesday From: To: From: To: Wednesday From: To: From: To: Thursday From: To: From: To: Friday From: To: From: To: Saturday From: To: From: To: Sunday From: To: From: To: Page 3 of 4 Part V. Other Write an essay (200-300 words) The importance of co-operation in life. Please answer all the questions below using no more than 100 words: 1. How do you understand the meaning of being a leader? 2. Why do you want to become a leader and what will you do to help other members? 3. Tell us more about yourself (your pastime, your dream,etc). Page 4 of 4