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UNIVERSITY TRANSFER STUDENT’S QUESTIONNAIRE

Please take the time to read and answer EVERY question

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1. Family Name (Sobrenome) *

2. First Name (Primeiro nome) *

3. Middle Name (Nome do meio) *

4. Nickname/American Name (Apelido ou Nome americano) *

5. Date of Birth (Cidadania) *

6. Country (País) * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Timor-Leste (East Timor) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe

7. Passport Number (Número do passaporte) *

8. Student email address (E-mail do estudante) *

9. Skype Number *

10. WeChat number

11. Street address (Endereço) *

12. City (Cidade) *

13. Province or state (Estado) *

14. Postal Code (Código postal) *

15. Parent’s email address: (E-mail dos país) *

16. Parent’s Skype: (Skype dos pais)

17. I live with (Eu vivo com) * both parents (Ambos os pais) mother (Mãe) father (pai) other (outros)

18. Father's Occupation (Profissão do pai) *

19. Speaks English (O pai fala inglês?) * Yes No

20. Mother's Occupation (Profissão da mãe?) *

21. Speaks English (A mãe fala inglês?) * Yes No

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ACADEMIC INFORMATION / INFORMAÇÃO ACADÊMICA

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22. Current School Name: (Nome da escola atual) *

23. Current Grade: (Período atual) *

Attach or email your last transcript or report card to:  ronr@tessusa.com

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24. Have you declared a major? (Você possui uma área de estudos principal?) *

25. If YES: what is your major? (Se SIM: qual é a sua área?)

26. Do you want to change your field of studies or your major? (Você quer mudar seu campo de estudos ou de seu curso?) *

27. Why do you want to transfer? (Por que você deseja transferir?) *

28. When would you like to transfer? (Quando você gostaria de transferir?) *

29. List the universities that interest you: (Liste as universidades que lhe interessam) *

30. Why do you want that/those schools? (Por que você quer essas escolas?) *

31. Describe what you want from a new school (Descreva o que você quer de uma nova escola) *

32. Is there anything else that you would like us to know? (Há mais alguma coisa que você gostaria que nós sabemos?) *

33. How many years have you studied English? (Há quantos anos você estuda Inglês?) *

34. Test scores from: TOEFL (Os resultados dos testes de: TOEFL) *

35.Date of test (Data do teste) *

36. IELTS: (Resultado do IELTS) *

37. Date of test? (Data do teste) *

38. Other Tests & score? (Outros testes e pontuação?) *

39. Recruiter Name: (Nome do recruta/representante) *

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HOW DID YOU HEAR ABOUT US (COMO VOCÊ FICOU SABENDO SOBRE NÓS) *

• TV
• RADIO
• NEWSPAPER (Jornal)
• WEBSITE
• FACEBOOK
• TWITTER
• LINKEDIN
• RECRUITER (Representante)
• FRIEND (Amigo)

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What is 1 + 1? *