2024-2025 Student Delegate Application

Full Name:

Home Address:

Student's Main Phone:

Email Address:

Age:

Pronouns:

Gender:

Grade & School:

Parent/Guardian #1 Name:

Parent/Guardian #1 Main Phone:

Email Address:

Home Address:

Parent/Guardian #2 Name:

Parent/Guardian #2 Main Phone:

Email Address:

Home Address (if different than parent #1)

Teacher Name:

Teacher Phone:

Email Address:

High School:

Please describe your personality (or how your friends and family would describe you). 

What activities are you involved in? e.g. Sports, Band, Theater, Chorus, Classes/Lessons, Volunteering

What are your favorite things to do after school and on weekends? 

How much “down time” or time by yourself do you need?  

Why are you interested in participating in this cultural exchange program to Fukuroi, Japan?

What aspects of Japanese culture, history, or society are you most excited to experience during this trip?

How do you think this experience will shape your future academic or career aspirations?

Have you traveled outside of the United States before? 

If yes, where did you travel, how long did you stay, and with whom did you travel?

Have you traveled away from home for a week or more without your parents or other family members?                           

If yes, please list date, place, location, and the length of your stay.

Have you studied a foreign language?

What language and for how many years?

Student: I hereby certify that I am aware of and accept the City of Hillsboro Sister City Student Exchange program requirements for participation, and that the information provided in this application is correct to the extent of my knowledge.

By entering your name and date in the field below, you are officially applying to be a student delegate to Fukuroi, Japan in June 2025.

Parent: By entering your name and date below you are granting permission for your student to apply for the Hillsboro Sister City student delegation program traveling to Fukuroi, Japan in June 2025.