Solicitud de Ingreso al Instituto Internacional. International Institute Application

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1 Solicitud de Ingreso al Instituto Internacional International Institute Application Inscribirse en el Instituto Internacional, compromete a los alumnos y a sus familias, a un horario académico riguroso. By enrolling in the International Institute, students and families commit to a rigorous academic schedule. Gracias por realizar su solicitud de ingreso al Instituto Internacional de Ajijic, Jalisco. El proceso de solicitud de ingreso consiste en lo siguiente: 1. Llenar la solicitud de ingreso al Instituto Internacional. 2. Usted será notificado del estado de su solicitud en aproximadamente 2 semanas mediante correo electrónico y teléfono; en ese momento le será proporcionada su fecha y hora de entrevista (con una duración aproximada de 30 minutos). 3. Asistir a la entrevista estudiante/familia. 4. Recibir y completar "Paquete de Inscripción". Thank you for applying to the International Institute in Ajijic, Jalisco. The application process consists of the following: 1. Fill out the International Institute Application. 2. You will be notified of your acceptance status in approximately 2 weeks via and telephone; at this time, you will be given your Interview date and time (will last approx. 30 minutes). 3. Come to the student/family interview. 4. Receive and complete "Enrollment Package" Para Uso Administrativo Staff Use Only Step Date Signature Application Received by School Accepted Interview Conducted Enrollment Package Given (376)

2 Página 1: Información General Page 1: General Information Nombre del Estudiante Student's Name Instituto Internacional Apellido Paterno Last Name Apellido Materno Last Name Nombre(s) Name(s) Nombre de Tutor Name of Parent or Guardian Numero de Teléfono Phone Number Correo Electrónico Address (376) Fecha de Nacimiento Date of Birth Día Day Mes Month Año Year A qué grado estas planeando entrar en Agosto de 2013? What grade are you planning to enter in August 2013? X Nivel Grade Instrucciones Instructions Promedio GPA Primero de Secundaria Grade 7 Segundo de Secundaria Grade 8 Tercero de Secundaria Grade 9 Primero de Bachillerato Grade 10 Segundo de Bachillerato Grade 11 Tercero de Bachillerato Grade 12 Promedio Total de Primaria GPA from Elementary School (Grades 16) Promedio de Primero de Secundaria GPA from Grade 7 Promedio de Segundo de Secundaria GPA from Grade 8: Promedio de Total de Secundaria GPA from Junior High School (Grades 79): Promedio de Primero de Bachillerato GPA from Grade 10: Promedio de Segundo de Bachillerato GPA from Grade 11: Si ya has tomado el TOEFL, SAT, o algún otro examen de estandarización, por favor escribe en la siguiente seccion cuál examen tomaste y cuál fue tu puntaje. If you have taken the TOEFL, SAT, or any other standardized test, please list the test and your score below. Nombre del Examen Test Name Puntaje Obtenido Score Received TOEFL SAT (Overall Score) ACT (Overall Score) Otro Other Otro Other Idiomas Dominados Languages Spoken Porcentaje Proficiency (%) Español Spanish Inglés English Francés French Otro Idioma Other Language Otro Idioma Other Language Otro Idioma Other Language

3 Página 2: Respuesta Corta Page 2: Short Answer 1. Por qué estás interesado en el Instituto Internacional (300 palabras o menos)? Why are you interested in the International Institute? (300 words or less)? 2. Por favor, enlista las actividades extracurriculares o intereses que tienes, incluyendo algún servicio comunitario que haces fuera de la escuela. Please list any extracurricular activities and/or interests you have, including any community service you perform outside of school. 3. Por favor escribe si has ganado algún premio, reconocimiento, posición de liderazgo, etc., en los últimos tres años. Please list any awards, commendations, prizes, leadership positions, etc. that you have received in the last three years. (376)

4 Página 3: Artes Page 3: The Arts Enumera los siguientes grupos en orden de preferencia Rate the following ensembles in order of preference: Escribe 1, 2, o 3 en cada caja. Grupo Musical Ensemble Write 1, 2, or 3 in each box. Orquestra Orchestra Clase de Guitarra Guitar Coro Chorus Para los alumnos que aplican para Bachillerato, circula uno: Students entering Senior High only, circle one: Visual Arts Artes Visuales Music Música Qué bases artísticas tienes? Pueden referirse a la música, a la escritura creativa en cualquier idioma, teatro, artes visuales, danza, etc. (max. 400 palabras) What background do you have in the arts, if any? This can refer to music, creative writing in any language, theater, visual arts, dance, etc. (max 400 words). (376)

5 Página 4: Preparación Universitaria Page 4: University Preparation En que países o regiones planeas solicitar admisión para la Universidad o algún tipo de educación posterior? (Marca todas las que apliquen.) In which countries or regions do you plan to apply for college or other postsecondary education? (Check all that apply). / Mexico Estados Unidos/ United States Canadá/ Canada Francia/ France Reino Unido/ United Kingdom Otro Centroamérica / Sudamérica; Other Central/South American country Otro país Europeo/ Other European country Otro/ Other: En 300 palabras o menos, por favor describe tu plan para después de graduarte de Preparatoria. In 300 words or less, please describe your plans after graduation from high school. Cómo supiste de nosotros? How did you hear about us? (376)

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