APPLICATION

APPLICATION ​

Application Form Concordia International School Hong Kong

A.Personal Details of Applicant

Date of Application:

Applying for Grade:

School Year:

Applicant Name:


First Name / Surname / Name Used in School

Gender:

Date of Birth:


MM / DD / YYYY

Place of Birth:

Nationality:

Native Language:

Other Languages:
In order of fluency







Please provide photocopies of your passport and HKID card

Passport Number:

Issuing Country:

Passport Expiry Date:

If not Hong Kong passport holder:

Visa Status:

Visa Expiry Date:

HKID Card Number:



B. Family Information

Applicant will be living with:
FatherMother


BothOther

Father / Guardian

Preferred form of correspondence:
Mail Email Phone

Surname / First Name

Email:
Mobile Phone Number:

Address:

Father's Occupation:

Company:

Mother / Guardian

Preferred form of correspondence:
Mail Email Phone

Surname / First Name

Email:
Mobile Phone Number:

Address:

Mother's Occupation:

Company:

Siblings

Please list siblings' names, dates of birth and their current school.

Names:
Date of Birth:
Current School:












C. Educational Details of Applicant

Currently in grade:

Current School Name:

School Address:

Educational History

Please list the name and details of your last two schools:

School Name:
Country:
Language Taught In:
Grade:
Dates From - To:











Has the applicant ever been included in an ESL or ESOL program?

No
Yes (Please explain)


Has the applicant ever received a formal disciplinary, suspension or expulsion from school?

No
Yes (Please explain)

Special Educational Needs

Please indicate whether the applicant has been assessed for any known or suspected special educational needs. If so, please answer the following questions:

Has the applicant ever been included in a "gifted and talented" program?

No
Yes(Please explain)

Has the applicant ever seen any of the following specialists? If yes, please attach reports.

Speech Therapist
Occupational Therapist

Educational Psychologist
Learning Support Teacher

Parents/Guardians of applicant are to provide information concerning their child ability to learn in regular school environment. Withholding or providing false/misleading information may affect continued enrolment and refund policies. School administration's decision is final in this regard.


D. Payment Details

Bank Transfer Reference (for online payments)


HKD 1000 towards Application processing fee:
Account details: HSBC #193-072311-001


E. How Did You Hear about CISHK?

Housing Agent/Relocation
Friends
Alumni

Company/Human Resources Dept.
Web Site
Other




When done, please or

Note: All information is treated as confidential. Concordia International School adheres to the information guidelines on personal data provided by the Home Affairs Branch of the Hong Kong Government.
Warning: Bribery in return for a school place is strictly forbidden.