GLOBAL PROGRAMS AT GOOD COUNSEL

International Student Application

Student First Namerequired

Student Family Namerequired

Student English Name (if any)

Student Emailrequired

Student Phone

Gender*

Male Female

Date of Birthrequired (mm/dd/yyyy)

Father First Namerequired

Father Family Name required

Father Phone Numberrequired

Father Emailrequired

Mother First Namerequired

Mother Family Namerequired

Mother Phone Numberrequired

Mother Emailrequired

Home Address in your country (for mailing I-20):required

Home Address 2

Home Phone (please include country code)required

Cityrequired

State/Provincerequired

Countryrequired

Ziprequired

Citizenshiprequired

Current Schoolrequired

Current School Addressrequired

Current Graderequired

Grade Applying Forrequired

School Year Applying Forrequired

Is English Your First Language?*

Yes No

SAT or PSAT (please specify) & Scorerequired

TOEFL (or equivalent - please specify) & Scorerequired

HSPT or SSAT (please specify) & Scorerequired

I am applying via an consulting agency*

Yes No

Consulting Agent Name (if applicable)

Consulting Agency Website (if applicable)

Consulting Agent Email

Consulting Agency Phone

Consulting Agency Address

I am using a homestay agency*

Please note that your homestay agency must be approved by Good Counsel

Yes No

I will be living with a family member/friend*

Please note that a Social Security Number based background check is required for approval.

Yes No

I need help in finding a host family*

Yes No

Homestay Agency Name, Website, Contact Name and Phone Number (if applicable)

My family member/friend's Name, Email, Address and Phone Number (if applicable)

What school subjects do you like the best? Why? required

What clubs / sports / extra curricular activities do you enjoy the most? Provide details and examples.required

In at least 350 words, explain why you will be a good fit for Good Counsel? Are you interested in any particular programs, sports, classes or activities at Good Counsel and why?required

Good Counsel is a Day School which means that you will live with a family. Do you have family members in the area? If not, you will need a host family. Please describe your ideal host family and what you might do together.required

Please note that all host families and host family agencies need to be approved by Good Counsel.

How did you hear about Good Counsel?required

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :