The Steward School - Richmond, VA

Application for International Students

Student Information
Name:
(as it appears on passport )	Last	First	Middle
Gender:	Male:	Female:
Date of Birth:
Grade Level Expected:
Address in Home Country:
Street:
City:
Province:
Zip/Postal code:
Current Phone Number :
Country of Birth:
Citizenship (passport carried):

Parent Information
Father's Name:
Father's Current Address:
Father's Phone Number:
Father's Occupation:
Mother's Name:
Mother's Current Address:
Mother's Phone Number:
Mother's Occupation:
Email:

Does the student need an I-20 to obtain an F-1 Visa?
Wiill the student be traveling on a Visa supported by parents' work or status?
Will the student need a host family?
Address in the US (if different, and/or known):
Street:
City:
Zip/Postal code:
Phone Number :
Name of US contact (if student will not reside with parents)
Address of contact:
Phone Number of contact:
Relationship to contact:
Will this contact be the host family? Yes No

Language, School, and Activities
Student's native language:
Number of years student has studied English:
Other languages student has studied (years and level of fluency) :

Language(s) spoklen in the home (while in the US)
Favorite Activities:
(sports, club, music, art, etc)

Travel Abroad? Yes No
If yes, where and when:

Student's educational goals:

Is the student transferring from another school in the US? Yes No
If yes, reason for transfer:
Name of school:
Address:
Name of contact:
Contact's Phone Number:
Contact's Fax Number:

How did you hear about Steward? :

11600 Gayton Road Richmond, Virginia 23238 phone: 804.740.3394 site credits