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Student
Application



Date of Application:

Full Name of Student: Gender: Male / Female

Nick Name the Student Likes to be Called:

Date of Birth: Place of Birth:

Current Address:
Permanent Address:
Primary Phone No:
Primary Email:

Parent's Details

Mother's Name: Cell No:
Occupation: Email:
Place of Employment: English Speaker: Yes NoSome

Mother's Native Language: Language Spoken at Home:

Father's Name: Cell No:
Occupation: Email:
Place of Employment: English Speaker: Yes NoSome

Father's Native Language: Language Spoken at Home:

Alternate Contact Details


Full Name: Cell No:

Home Address:

Relationship to Student: Email:

Previous School Information


Name of School Attended:

What Class/Grade was your student in last school year? Did They Pass?:

Has Your Child Ever Repeated a Class? Yes / No If Yes, Which Class/ Grade?

More Information

Has Your Child Had Any Academic, Discipline or Emotional Problems In or Out of School?

If Yes, Please Explain:
How Involved Are You in Your Child’s Academic and Emotional Development?
How did you hear about our school?