Name_____________________________________________________________________ Age: _______________

Career _________________________________________________University: ____________________________

Why do you choose this career? ___________________________________________________________________

1- tell me a little bit about yourself:

_______________________________________________________________________________________________________
__________________________
2- what kind of activities do you like to do?
_______________________________________________________________________________________________________
__________________________
3- Why do you want to visit USA?
_______________________________________________________________________________________________________
______________________________________________________________________________________________________
4- Have you’re been before at the USA?
_____________________________________________________________________________
5- Have you ever applied for a visa to the U.S.? ___ Yes ___No What kind of Visa? ___________________________
6- Do you have family living in the U.S.? ___Yes ___No If yes, whom? ___________________ Where? ___________
7- How are you going to pay for your travel expenses?
_______________________________________________________________________________________________________
8- How did you know about the work and travel program?
____________________________________________________________________________________________________
9- Why do you want to do the work and travel program?
_______________________________________________________________________________________________________
_
10- What it means honor for you? ______________________________________________________________________
11- Tell me something about your country or your city: ___________________________________________________
12- What kind of traditional food do you like the most? ____________________________________________________
This student’s English proficiency is at the following level:

___Low Basic ___ Basic __ Low Intermediate ___ Intermediate ___ High Intermediate ___Low Advance ___Advance
___ I recommend this student for the WAT program.
___ I do not recommend this student for the WAT program.

Interviewed by _________________________________________Date: _______________________________