Application for Participation in Trip to China

This is a Lynn Schools approved trip. If you miss school time, you will have permission to make up the work.

NAME:                                                                                                                                                             

SCHOOL:                                                                                                                                                         

CURRENT GRADE:       Please circle one:   8^th   9^th   10^th    11^th

ADDRESS:                                                                                                                                                      

HOME PHONE:                                                                                                                                                

EMAIL:                                                                                                                                                            

Have you applied to the Pathways to China program before?     ¨  YES          ¨  NO

Please answer the following questions.  You may use an additional sheet of paper.

Have you ever been suspended from school?    ¨  YES          ¨  NO   

If you answered yes to the above, please explain.

 

If a scholarship and fundraising doesn't pay in full for this trip, can your family afford  to pay for part of the cost?     ¨  YES          ¨  NO

QUESTION 1: Why do you want to learn about China?

 

 

 

  QUESTION 2: Why would you be an asset to the Pathways to China program?

 

 

 

Student signature:                                                                                                                                   

Parent signature indicating support of student’s application:                                                                     

Parent’s name: (please print):