REGISTRATION FORM FOR FUNHOUSE E.

CLUB
GROUP LEADER

Dao Duy Tu high school

Part I. Candidate information

Please provide your personal information by filling in the blank:

Full name:
Last Middle First

Address:
Number Street District City/Town

Current class School Dao Duy Tu high school Gender M/F

Home
Phone Date of birth
Cell Month Day Year

Email address

II. Foreign language proficiency

Please provide your information by filling in the blank:

Your English Grade Point Average:

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 Please rate your English proficiency from 1 to 5 (with 5 indicates the highest level) in the
following areas:

A. Speaking 1 2 3 4 5
B. Listening 1 2 3 4 5
C. Writing 1 2 3 4 5

- GPA (if available):

- Please rate your language proficiency from 1 to 5 (with 5 indicates the highest level) in the
following areas:

A. Speaking 1 2 3 4 5
B. Listening 1 2 3 4 5
C. Writing 1 2 3 4 5

Please list up to 3 awards/prizes you have received in English

1.
2.
3.

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 Part III. Extra- curricular activities

Please list up to 5 extra-curricular activities you have participated in following chart:

Activity Dates of participation Positions held

Part IV. Time you can spend with us

Please be specific about the time you can spend with us in the following chart.
If your schedule in a particular time is full, please leave it blank.

Day Time
Morning Afternoon
Monday From: To: From: To:
Tuesday From: To: From: To:
Wednesday From: To: From: To:
Thursday From: To: From: To:
Friday From: To: From: To:
Saturday From: To: From: To:
Sunday From: To: From: To:

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 Part V. Other

Write an essay (200-300 words)

The importance of co-operation in life.

Please answer all the questions below using no more than 100 words:

1. How do you understand the meaning of being a leader?

2. Why do you want to become a leader and what will you do to help other members?

3. Tell us more about yourself (your pastime, your dream,etc).

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