Contact Information
Student Number:
Date of birth
Birth date
Picture (Attach your picture)
Name (full name)
Short/Nickname
Email
Phone number
Address
Student Number:
Date of birth
Birth date
Place of Birth:
Languages spoken:
Family Background:
(
) mother, ( )father,
(
)wife, ( )husband,
(
) child(ren),
(
)older sister(s)
(
)younger sister(s),
(
)older brother(s),
( )
younger brother(s)
Interests:
How long in US/Bay Area:
Semester at Lincoln University:
Program:
( ) DI, ( ) AS, ( ) BA, (
) BS, ( ) MBA, ( ) DBA
Courses this Semester:
Future plans: