Contact Information Notes
Contact Information
Picture
Name (full name)
Short/Nickname
Email
Phone number
Address
Birth date
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Notes
Student Number:
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:
Student Number:
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:
