Today's Date:

Name of City and State you are from:

U.S. Passport No.:

Referred by:

Last Name:  
First Name:  

Full Address:

Telephone (home):

Telephone (work):

Mobile:

Email:

Birth Date(mm/dd/yy)

In Sweden since (year):

Will stay in Sweden until (year or indefinite):

Living Status:
single married divorced engaged sambo Other

What brought you to Sweden?:
relationship my job partner's job Other

Profession:

Company (if presently employed):

University:

Degree:

Date: from to

What are some of your interests or hobbies: Type here your interests or hobbies.

If applicable: Partner's Name:

Partner's Nationality:

If applicable: Profession/Employer:

If applicable: Children:   yes  no  If yes:

# of boys birth/year(s):

# of girls: birth/year(s): 

Previous AWC member? (here or abroad) no yes  If yes:

Where:

position held:

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