Private University preparatory VocationalPublic
AFS Application Form
Academic Record/Transcript of Grades (Page 1 of 3)
School Information
THIS FORM SHOULD BE COMPLETED BY A SCHOOL OFFICIAL. Note: Please be sure that courses and grades from current and two previous years are included.
If current grades are not available, please list current courses.
Student Status
Explanation of Your School’s Grading System
Student Advancement/Attendance
Language Proficiency
CANDIDATE NAME
SCHOOL NAME
SCHOOL ADDRESS
TELEPHONE FAX
NAME OF THE PRINCIPAL
NAME OF EXCHANGE COORDINATING STAFF
ANTICIPATED MONTH AND YEAR OF GRADUATION
This school may be best described as the following (check all that apply):
Other:
STUDENT’S CURRENT YEAR IN SCHOOL CURRENT GPA/AVERAGE GRADE
RANK IN CLASS OR OTHER GROUPING (IF AVAILABLE)
If your school does not rank students numerically, indicate the student’s standing in relation to others in the class:
Top quartile 2nd quartile 3rd quartile Final quartile
By end of current school year student will have had years of primary and years of secondary schooling.
Outstanding =
Very Good =
Good =
Average/fair =
READING
WRITING
SPEAKING
FOREIGN LANGUAGE(S) ENGLISH OTHER:
UNDERSTANDINGCONVERSATION
Poor Fair Good Excellent Poor Fair Good Excellent
Poor Fair Good Excellent Poor Fair Good Excellent
Poor Fair Good Excellent Poor Fair Good Excellent
Poor Fair Good Excellent Poor Fair Good Excellent
Has the student missed or repeated a year or semester?
Is there a history of frequent absences of two or more a month?
If yes, indicate which year/semester and give reason:YesNo
YesNo If yes, attach an explanation.
Poor =
Failing =
AFS Application Form
Academic Record/Transcript of Grades (Page 2 of 3)
Attaching an official transcript is encouraged. In addition, please fill in the courses and grades below.
CANDIDATE NAME EXPECTED MONTH AND YEAR OF GRADUATION
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Current Academic Year CoursesFinalGrade
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Previous Academic Year Courses
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Previous Academic Year Courses
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Academic Record/Transcript of Grades (Page 3 of 3)
AFS Application Form
Please comment on the student’s personality and motivation at school:
How long have you known the student?
SIGNATURE
NAME AND TITLE
DATE
A school official must certify that the grades above are correct by affixing a school seal or stamp and signing here.