San Francisco-Osaka Sister City Association

Application Form
2008 High School Summer Exchange Program
Supported by Japan Airlines, MIK International , DEFTA Partners, and Applied Materials

Please print and fill out this form.

Personal Information:

Address : _____________________________________ Home Telephone #:________________

Email: ___________________________________ Cell Phone #:: _________________________

Have you ever been to Japan? ( Y / N ) If yes, when and how long? ______________________

Have you ever lived overseas? ( Y / N ) If yes, where and when? _________________________

Educational Information:

Name of School: ______________________________ Grade Level: ________ GPA: ________

- This form must be completed in its entirety or it will not be considered -

Consent of Parent or Legal Guardian for the Applicant
- Please have your child read and sign as well -

I, the parent or legal guardian of ______________________________, hereby consent to his/her entry and participation in the San Francisco-Osaka Sister City Association's ("The Association:) Annual High School Summer Scholarship. I further understand that the round-trip airfare will be provided for my child by the Association prior to the trip.

As my child will be living with a host family, she/he will have no living expenses. My child will accept the generosity and hospitality extended by each volunteering host family with graciousness and will NOT expect or demand any other obligations, financial or otherwise, outside of providing lodging and meals for my child during the duration of his/her stay. As a student ambassador to Japan, my child will attend all functions and events planned for them by the City of Osaka during their stay.

Furthermore, upon my child's return to San Francisco, my family will reciprocate Osaka City's generosity and agree to host an exchange student from Osaka at my house or take him/her on a tour of San Francisco either in the summer of 2007 or 2008, whichever is convenient for my situation.

Parent or Guardian's Signature______________________________ Date: _________________

Student's Signature: ___________________________________ Date_____________________

- This form must be completed in its entirety or it will not be considered -

Mail completed form to:

San Francisco - Osaka Sister City Association
Misako Maki Sack, Executive Director
c/o Morrison & Foerster LLP
425 Market Street
San Francisco, CA 94105


				Student Exchange Program
	Application Form 2008 High School Summer Exchange Program Supported by Japan Airlines, MIK International , DEFTA Partners, and Applied Materials Please print and fill out this form. Personal Information: Name: _________________________ Date of Birth:___________________________ Address : _____________________________________ Home Telephone #:________________ Email: ___________________________________ Cell Phone #:: _________________________ Have you ever been to Japan? ( Y / N ) If yes, when and how long? ______________________ Have you ever lived overseas? ( Y / N ) If yes, where and when? _________________________ Educational Information: Name of School: ______________________________ Grade Level: ________ GPA: ________ Please provide names and telephone numbers of two teachers for reference: _________________________________________________________________________ ________________________________________________________________ Extra Curricular Activities: Honors, Achievements, Scholarships and Awards: Hobbies and Outside Interest: Foreign Language(s) and Fluency / Years of Studies: - This form must be completed in its entirety or it will not be considered - Consent of Parent or Legal Guardian for the Applicant - Please have your child read and sign as well - I, the parent or legal guardian of ______________________________, hereby consent to his/her entry and participation in the San Francisco-Osaka Sister City Association's ("The Association:) Annual High School Summer Scholarship. I further understand that the round-trip airfare will be provided for my child by the Association prior to the trip. As my child will be living with a host family, she/he will have no living expenses. My child will accept the generosity and hospitality extended by each volunteering host family with graciousness and will NOT expect or demand any other obligations, financial or otherwise, outside of providing lodging and meals for my child during the duration of his/her stay. As a student ambassador to Japan, my child will attend all functions and events planned for them by the City of Osaka during their stay. Furthermore, upon my child's return to San Francisco, my family will reciprocate Osaka City's generosity and agree to host an exchange student from Osaka at my house or take him/her on a tour of San Francisco either in the summer of 2007 or 2008, whichever is convenient for my situation. Parent or Guardian's Signature______________________________ Date: _________________ Student's Signature: ___________________________________ Date_____________________ Parent or Guardian's:Name:________________________________________________ Address: _______________________________________________________________ Telephone # : _______________________________________ Email address: ________________________________________________________ - This form must be completed in its entirety or it will not be considered - Mail completed form to: San Francisco - Osaka Sister City Association Misako Maki Sack, Executive Director c/o Morrison & Foerster LLP 425 Market Street San Francisco, CA 94105
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