Contact Information Notes

Picture

Contact Information

Name (full name)

Email

Phone number

Address

Birth date

Notes

Place of Birth:
Languages spoken:

Family Background (indicate number):
(  ) 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: