*
Required Fields; Please
complete this entire form in English only.
| Seoul, COEX |
Atlantic Hall, 159 Samsung-Dong, Kangnam-Ku,
Seoul |
April 7-8, 2012 |
11:00am - 6:00pm |
| Busan, BEXCO |
Woo 2-dong 1291, Haeundae, Busan 612-704 |
April 5, 2012 |
11:00am - 6:00pm |
|
| You
wish to attend * |
Seoul
-- April 7, 2012 Seoul
-- April 8, 2012 Busan
-- April 5, 2012 |
|
Please consider be my application to become a Fair Interpreter.
(Each
selected interpreter will be paid US$50 and receive a certificate upon the completion of
two day duties.) |
| Name
(in English) * |
Family Name:
First Name: |
| Gender
* |
Male
Female |
| Year
of Birth
* |
19 |
| Phone
Number |
Country
Code-City
Code-Phone
Number |
| Mobile
Phone Number* |
Country Code-Number |
| E-Mail
Address * |
|
| Status
* |
Current
Student
|
|
Other |
Do
you plan to study in the U.S.A.? * |
Yes
No |
| Year:
|
Spring
Fall |
|
Intended Level of Study |
|
Use "Ctrl + mouse click" to select multiple options |
| Program(s) interested in |
|
Use "Ctrl + mouse click" to select multiple options |
|
Do you wish to receive information from
American Schools? |
Yes No
|
|