LFSF Application

Applicant Information

Please be advised, there is a $100.00 fee associated with the completion of this application that must be paid by credit card.

*

Application Date/Date:

Last Name/Nom:*

First Name/Prenom:*

Nickname

Birth Date/Date de naissance:*

Gender/Sexe:*

Applicant Primary Address/Adresse principale*

City/Ville:*

State/Etat:

ZIP / Code postal

Country/Pays:*

Primary Citizenship/Nationalite:*

Secondary Citizenship/Autre nationalite:

Primary Language/Langue maternelle:*

Secondary Language/Langue parlee:

Birth City/Ville de naissance:*

Birth Country/Pays de naissance:*

Ethnicity/Ethnicite:

01 - American Indian or Alaska Native

02 - African American or Black

03 - Asian Indian

04 - Asian or Pacific Islander

05 - Hispanic or Latino

06 - Middle Eastern or Arabic

07 - White

08 - Mixed Ethnicity

09 - Decline to State

School Year Apply / Annee scolaire:*

Will the applicant be living WITHOUT his/her parents/guardians?*

Does the applicant need special accommodations?

Applying for grade level/Demande de candidature pour le niveau scolaire:*

Currently in school / Actuellement inscrit(e) dans une école*

Level of English/Niveau d’Anglais:*

Does your child already speak French? Votre enfant parle-t-il déjà le français?

Level of French/Niveau Francais?*

How many siblings does the applicant have?/Combien de de freres et soeurs a le candidat?:ante:*

Sibling #1 Date of Birth/Freres Date de naissance:*

Sibling #2 Date of Birth/Freres Date de naissance:*

Sibling #3 Date of Birth/Freres Date de naissance:*

Sibling #4 Date of Birth/Freres Date de naissance:*