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G04 - Student Info Sheet

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0% found this document useful (0 votes)
39 views2 pages

G04 - Student Info Sheet

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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S L Student Information Sheet

Your Teacher Responsible: Group Ref No:


Please TYPE the information
To be completed by a parent/guardian if under 18 years old

Family name: Penchev


Given names: Vladimir Lyubomirov
Insert
Male/Female: Male Date of Birth: 20.10.2008 Photograph
Nationality :Bulgarian
very important
School: 73 school for foreign languages “Vladislav Grammatik”
Town/City: Sofia..........................................................
Home Address: 64, Ivan Susanin Str.,apt. 6
E.Mail: [email protected]
Passport. (Only if Visa needed). ………………………….
Medical Information
Allergies, requiring medication only: none
Are you on any medication prescribed by a doctor? no
Do you require a special medical diet? Lactose/Gluten……no
Any other info or additional support needs? ……………………………………………………..

Do you smoke?......no...... Are you vegetarian? ……no..

How do you like to spend your leisure time? Hanging out with friends, play video games..................................

.................................................................................................................................................
How would you and your family assess your character and personality? Funny, active,friendly, responsible...........

.................................................................................................................................................

.................................................................................................................................................
If possible please base this on the Common European Framework levels
I have been studying English for .......3..... year(s) Level B2
Have you been to England before? If so, when and where? I have been in London on a family trip. Last year in
October......................................................................................................................................
Have you ever taken part in a SOL course? If so when No, I hvane’t been.....................................................

Please add any extra information to help with placements with host families, e.g. If you have been before and
wish to stay with the same family (We will do our best to place you with your chosen family).
.................................................................................................................................................

.................................................................................................................................................

The above information is only required for the duration of the course agreed and will not be kept and securely
destroyed. SOL may take photographs and videos of classes or other activities, which we may use on Social Media
or for promotional purposes. Do you give consent to this?

Yes X No

G4-Aug 2022
Signature of Parent/Guardian (or student if 18 or over) …………………………………………………………. You have the right to
withdraw consent at any time. By completing this form you accept SOL’s privacy policy and terms and conditions
which can be found on our website www.sol.org.uk

G4-Aug 2022

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