Name :……………………………………………… Family name : …………………………………… Birth day : ………………………………………… Place : …………………………………… Home address : ……………………………………………………………………………………… My family: My studies: My favourites: photo Father’s job :………………………………………… Mother’s job : ……………………………………… Number of siblings : brother(s) …………… Sister(s) :……………… Last year English average mark :……………… Last year English teacher :…………………………… Repeater or not repeater: …………………………… New comer or not:…………………………………… If yes, last year school:……………………………… Leisure activities :………………………… ……………………… ………………………… School subject(s):………………………… …………………………… Readings : ………………………………… …………………………… Ambition : what I want to be : …………………………………… ……………………………… What I expect the English to be: The course way I want to learn English this year : (different techniques) ……………………………………………………………………………………………………………………… ……………………………………………………………………………………