C. Fill the form below according to the information given.

Brazilia, September 17th 2017.

My name is Elena, Elena Sandra Sanchez. I am really interested in joining
as a participant in Masoura Summer English course in Masoura University which
will be held from May to June 2017.
I was born in June 3rd 2000. I live at Rua Sao Luis, 67678 Brazilia, Brazil. I
am curently studying in El Salvador Public High School in my third year.I am
interested in a conversational course as me and my family are going move to the
US by the end of the year. I had planned to enroll in an English Cultural and
Literature studies in a university in USA after i graduate from high school.
I could describe myself as being a very responsible person, mature, honest
and friendly, highly organised, hands on work and trustworthy.I'm confident
taking care of responsibilities given to me but moreover I am always ready to
learn new things.
Please consider my application, and would really appreciate it if you
approve my application. I am available for any information, so please contact me
on my mobile at: 073-8887-65, Home: 088-456-768 or E-mail me at: sanchezelena@gmail.co.brz. And thank you.

PART A: PERSONAL DATA

Full Name:
Date of
birth:
(d)

(m)

(y)

Postal
Address:
E-mail
Address:
Phone:
(Home)

Are you?:

(Work)

Still
Stuying?

School:
Faculty:
Specialization:

PART B: COURSE PREFERENCES

Gener
Conversatio
al:
nal:
PART C: PARTICIPANT DECLARATION

(Mobile)

/
Working
?
Job:
Place of Work:

TOE
FL:

 I hereby declare that the

information given above
is true to the best of my
knowledge and is to be
verified when applying.

Signature:

Date:
(
Day
Year )

/ Month