Application form

Student Information

Name:
Middle Name:
Surname:
Nationality:
Place of birth
ID:
Gender:


Residence

City: P.O. Box: District:
St./Blvd.: Block Ent.: Ap.:
Phone: Mobile phone: E-mail:

Languages & Talents

Level of English Language Competence:
good insufficient minimal none
Has your child studied at an English speaking school before?
Yes No
Please, choose a second foreign language for your child?
German Spanish Italian
 
What talents does the child have?


Which are the areas of your child's interests?

Languages
Mathematics and Informatics
Social Sciences
Science
Arts
Sports

Which ones does your child practice?


Family Information

Number of family members:
Number of children in the family: Language spoken in the family:


Residence

City:
Country:
District: P.O. Box:
St./Blvd.: Block: Ent.: Ap.:
Home phone:

Mobile phone:
E-mail:  


Information about the mother

Information about the father

Name: Name:
Surname: Surname:
Middle Name: Middle Name:
ID: ID:
City: City:
St. St.
Nationality: Nationality:
Education: Education:
Occupation: Occupation:
Workplace: Workplace:
Mobile phone: Mobile phone:
Work phone: Work phone:


Previous schools

Country: City
School Name: Duration of studies:
Last completed grade:  

Transport:

Yes No
Residential district pick-up:

Residential district drop-off:


Personal Physician's Information:

Name:

Middle Name: Surname:
Workplace:
Address:
 
Mobile phone:
 
Work phone:
 

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