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PRINT AND COMPLETE THIS APPLICATION.
RETURN IT TO THE ADDRESS AT THE
BOTTOM OF THE PAGE.

APPLICATION FOR AN INTERNATIONAL PARTNERSHIP
(You are encouraged to use additional pages.)

SCHOOL INFORMATION

Name__________________________________________________________________

Full Address_____________________________________________________________

City/Town_______________________________________Zip Code________________

Telephone #____________________________Fax #_____________________________

E-mail Address___________________________________________________________

School District____________________________________________________________

Type of School: High/Middle/Elementary/Private/Boarding/Other ______________________

Superintendent____________________________________________________________

Principal/Headteacher________________________Age Range of Students_____________

Total Number of Students______Male______Female______ Number of Faculty_________

Name and Position of Head Partnership Coordinator_______________________________

List Names and Positions of Coordinating Team Members___________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Please indicate social/ethnic background of school and pupils including international or exchange lease indicate students. (Example: occupation of parents, home life-style or any other special circumstances you feel may be relevant)__________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

School Support Organizations: (Example: PTA, Band Boosters, Athletic Clubs, Chamber of Commerce and give names of business persons involved.) ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

LOCALITY Check appropriate blank(s)

City_____ Town_____ Urban_____ Rural_____ Commercial_____ Industrial_____

Does your city or town participate in the Sister City Program? Yes_____ No_____

If yes, Name and Location of Sister City_______________________________________

Please indicate nearest:

Airport________________________________________________________________

Train Station____________________________________________________________

Commercial Bus Service ___________________________________________________

Large Town or City_______________________________________________________

Please give details of places of cultural, historical, or geographical interest in your area.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

LANGUAGE

The primary language of our school is__________________________________________

______________________________________________________________________

CURRICULUM LINKS

Please check the following subject areas on which you would like to develop your international partnership:

_____ Language_____ The Combined Arts_____ Sports_____ Science_____ The Humanities

_____ Vocational Education_____ Personal and Social Education_____ Technology

PLEASE ANSWER THE FOLLOWING QUESTIONS ON A SEPARATE SHEET OF PAPER.

1. Why does your school wish to develop an international partnership?

(Please include information concerning level of commitment within the school, areas of special interest, and how an international partnership for your school would benefit your students, teachers, community and state.)

2. Analyze your community. What international companies, organizations or resources are in your area?

3. What are your goals for sustaining a successful partnership? (Include both a long-term administrative and financial plan.)

ADMINISTRATIVE SUPPORT

I fully support and consent to the terms of this application. Upon being matched, I agree to give teachers professional leave to visit our partner school.

Signature of Principal/Headteacher____________________________________________

Date ______________________________

Signature of Superintendent _________________________________________________

Date ______________________________

PLEASE RETURN TO:
World Class Partnership
PO Box 5593
Columbia, South Carolina 29250
USA

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