International Student-Teacher Identity Card Application Form Page 2

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Please take a moment to fill out the following questionnaire. It is our goal to increase the value
and benefits to all our cardholders. In order to reach this goal we need your help. Thank you for
your purchase and for your time in filling out this questionnaire.
______________________________________________________________________________
1. How did you hear about the card? ONE ANSWER ONLY
Student Travels Magazine
Internet
Berkeley Guides
Friend / Family
Other
Let’s Go
Teacher / Advisor / Counselor
Poster
2. Have you puchased the card before?
Yes
No
3. Gender:
Male
Female
4. What is your main reason for puchasing the card?
Airfare savings
Worldwide discounts
Other
Insurance coverage
Identification
5. Students: current grade level?
High school
College sophomore
College Senior
College freshman
College junior
Graduate
6. Where are you traveling?
Africa
Central America
USA
Asia
South America
North America (Canada/Mexico)
Australia/New Zealand
Eastern Europe
Caribbean
Middle East
Western Europe
Pacific
7. How long will you be traveling?
1 week
1-3 months
2-4 weeks
more than 3 months
8.
What is the main purpose of your trip?
study
work
leisure
9. What is your ethnic origin?
Caucasian
Hispanic
Pacific Islander
African American
Native American
Other
Asian
Hawaiian

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