You are on page 1of 3

Worksheet 3

Answer the questions based on the information on the forms.

Form 1

Answer the Questions


1. What is Alejandra Giron’s plan with the CV?
2. What skills does she have?
3. How long does she have experience working in hotels?
4. How many languages does she master?
5. What sport is she able to play?

Form 2

Fox Valley Lutheran Highs School International Student Application Form

FAMILY INFORMATION
Student Name Last: Mahendra First : Aji Middle : Lukman
Preffered Name/Nick Name : Hendra
Address Jl. Adi Sucipto 357 Surakarta
Central Java 57175
Phone Home : 0271-782084 Cell : 08562834226
Birth Date 8/3/1998 M/F Race : Asian
(mm/dd/yyy)
Country of Birth Indonesia
Country of Indonesian
Citizenship
Entering Grade X
Student Email Aji_Lukman_mahendra @gmail.com
Father’s Name Last : Mahendra First : Gunawan
Email Gunawan.mahendra@gmail.com
Employer Indonesian Government Occupation/Position : Teacher
Phone Work : 0271- 711615 Cell : 081225070789
Mother’s Name Anita Mahadevi
Email Mahadevi.anita@ymail.com
Employer Medika Utama Hospital Occupation / Position : nurse
Phone Work : 0271- 603226 Cell : 081329006656

ADDITIONAL INFORMATION
Agency Contact Information or emergency contact if no agent exist
Name Ruli Sahetapi
Email Ruli_sahetapi88@yahoo.com
Billing Information Billing sent to this Email ? Yes NO
If “no” which email ?
Phone 024-706020

STUDENT ADDITIONAL BACKGROUND


Name
Tests taken : TOIEC TOEFL other
English Proficiency Score : 550 Date of test : 7/23/2013

Please list
previous schools
attended
School School Name : SD Taman Siswa Surakarta
Dates of Attendance : 7/15/2005 Grade : Elementary School
Address : Jl. Hasanudin 74 City : Surakarta
State / Country : Indonesia Postal Code : 75164
Phone Number : 0271 – 634257 Fax : 0271 -634 257
School School Name : SMP Gajah Mada
Dates of Attendance : 7/12/2011 Grade : Junior High School
Address : Jl. Dr. Rajiman 56 City : Surakarta
State / Country : Indonesia Postal Code : 75164
Phone Number : 0271 – 610743 Fax : 0271 -610743
School School Name : -
Dates of Attendance : - Grade : -
Address : - City : -
State / Country : Postal Code : -
Phone Number : - Fax : -
Date Student Signature Parent Signature

........... ........................................ ..............................

Answer the Questions


1. What kind of form is it?
2. Who is supposed to fill out this form?
3. What is Aji going to do with this form?
4. Why is English qualification requested here?
5. What do you think about Aji’s English skill?
6. What school does Aji plan to study next?
7. Why is additional information requested here?
8. What previous schools did Aji attend?

You might also like