Exchange Germany - Great Britain 2017 Graf-Münster-Gymnasium Bayreuth Bristol Cathedral Choir School Dates: at the GMG 30 March – 7 April, at BCCS: 22 – 30 June APPLICATION FORM Please fill in this form correctly and seriously. To be handed in to Ms Schwarzer by 09 November 2016! Please put a picture of you here. Personal Data of Applicant family name _______________________________________________ first name(s) _______________________________________________ date of birth ___________________________ age ____________ male  class ____________ address ____________________________________________________________________  female ____________________________________________________________________ phone ____________________________ parents’ mobile __________________________ your e-mail address ______________________________________________________________ Do you have a mobile? yes  no  number __________________________ mother’s name _______________________ father's name ___________________________ mother's profession _______________________ father's profession Who should be notified in case of emergency? _____________________ _______________________________________ name __________________________________________________________________________ address ____________________________________________________________________ phone ____________________________________ mobile _____________________ brother(s) (name, age) ________________________________________________________ sister(s) (name, age) ________________________________________________________ ________________________________________________________ Apart from your parents are there any other persons over 18 living in the household? Who? ________________________________________________________________________________ Can the bathroom in your house be locked? yes  no  Are there any people smoking in the house? yes  no  Have you ever been abroad? Where? And for how long? ________________________________________________________________________________ Do you practise any kind of sports? Which one(s)? ________________________________________________________________________________ What are your main interests? Be as precise as you can! ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Do you pursue your interests mainly with friends? With your family? On your own? At home? Outside the home? ________________________________________________________________________________ ________________________________________________________________________________ Describe yourself with three adjectives. ________________________________________________________________________________ Do you like animals? yes  no  Do you have a pet at home? yes  no  Would you mind the host family having a pet in the house? Which one? yes  _______________ no  What are your favourite subjects at school? ________________________________________________________________________________ What languages have you been taking? For how many years? ______________________________ _________________ ______________________________ _________________ ______________________________ _________________ Would you be willing to /be able to host Do you have to/want to keep a special diet? only a girl  only a boy  both sexes  yes  no  If yes, please specify: ______________________________________________________________ Do you have to take medicine on a regular basis? yes  no  If yes, please specify: ______________________________________________________________ Do you have any medical conditions about which your host family should be informed? yes  no  Do you have any special preferences as far as your exchange partner’s family is concerned? What aspects would be important for you? ________________________________________________________________________________ ________________________________________________________________________________ ____________________________ date I support my child’s application. ______________________________________ applicant’s signature ______________________________________ parents’ signature Erklärung Der Austausch mit der Bristol Cathedral Choir School, der seit 2013 besteht, beinhaltet eine Vielzahl wichtiger pädagogischer Anliegen. Neben dem Kennenlernen des Gastlandes und der Gastfamilie spielen die Teilnahme an Gruppenveranstaltungen und das verantwortungsbewusste gegenseitige Miteinander eine wichtige Rolle. Da bei Austauschveranstaltungen höhere Anforderungen an das Verhalten der beteiligten Schüler gestellt werden, nehmen wir hiermit davon Kenntnis, dass unser Sohn/unsere Tochter bei gravierendem Fehlverhalten auf eigene Kosten vorzeitig nach Hause geschickt werden kann. __________________________ Ort, Datum _________________________________ Unterschrift der Erziehungsberechtigten