Contact Information Notes

Contact Information

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: