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Page 1: Sister Cities Association of Marshalltown, Inc.€¦ · Sister Cities Association of Marshalltown, Inc. Application to HOST a Japanese Student - Summer 2018 Approximate Dates: July
Page 2: Sister Cities Association of Marshalltown, Inc.€¦ · Sister Cities Association of Marshalltown, Inc. Application to HOST a Japanese Student - Summer 2018 Approximate Dates: July

Application Sister Cities Association of Marshalltown,

2016 Middle School Student Exchange: July 26—August 4

Sister Cities Association of Marshalltown, Inc. Application to HOST a Japanese Student - Summer 2018

Approximate Dates: July 28 - Aug 6, 2018 CURRENT 6th and 7th graders

COME and LEARN more! Mon., March 19 - 6:30 -7:15 at the Marshalltown Public Library

Date: ______________________ Student's Name: __________________________ Address: ______________________________ Phone______________ Grade___________ Current Age _________ Student’s Email Address:: _________________________________ Father's Name_____________________________________ Phone: _______________________

Address______________________________________ Email Address: _____________________________ Mother's Name_____________________________________ Phone: _____________________ Address______________________________________ EMail Address: ______________________________

List three activities you are involved in at your school: List three activities you are involved in outside of your school: 1. 1. 2. 2. 3. 3. List three current teachers as references. Ask their permission and have them initial and “ok” the reference. 1. _____________________________________________________________ 2. _____________________________________________________________

3. _____________________________________________________________

*Attach an essay of 100 - 200 words explaining why you would like to participate as a host in this exchange and tell us why you would be a good ambassador for Marshalltown. Completed applications and essays should be returned to

Dee Coulter at Miller or Kris Alman at Lenihan by Thursday, March 22, 2018. The board of directors will review applications and student hosts will be chosen by April 6, 2018. Thank you for your interest in Sister Cities.

*Friend “Minami Alps” on Facebook and see many pictures of our exchange program! Questions? Email [email protected]

Questions should be directed to Exchange Director, Kris Alman at [email protected]

Page 3: Sister Cities Association of Marshalltown, Inc.€¦ · Sister Cities Association of Marshalltown, Inc. Application to HOST a Japanese Student - Summer 2018 Approximate Dates: July

Application Sister Cities Association of Marshalltown,

2016 Middle School Student Exchange: July 26—August 4

Questions should be directed to Exchange Director, Kris Alman at [email protected]