APPLICATION

APPLICATION ​

Application Form Concordia International School

 
A.           Personal Details of Applicant

Date of Application: Applying for Grade:  School Year:

Applicant’s Name:   Gender:    

                                   Surname            First Name             Name Used in School

Date of Birth:     Place of Birth:     Country of Passport:    

                        Month  Day  Year 

Native Language:    Other Languages:                                                                                                                                                In order of fluency

Please provide photocopies of your passport and HKID cards

Passport Number     HKID Card Number    

  
B.           Family Information

Applicant will be living with  Father    Mother   Both   Other  

Father /Guardian   

Preferred form of correspondence  Mail     Email   Phone

           Surname                          First Name                                                       Email

 

           Address                                                                                     Mobile Phone Number

   

           Father’s Occupation                                                                             Company

Mother /Guardian   

Preferred form of correspondence  Mail     Email   Phone

           Surname                          First Name                                                       Email

   

          Address                                                                                     Mobile Phone Number

                                       
          Mother’s Occupation                                                                             Company

Siblings

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

Names

Date of Birth

Current School

1. 

 

 

2. 

 

 

3. 

 

 

 
C.           Educational Details of Applicant

Currently in grade: at 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

1. 

 

 

 

 

2. 

 

 

 

 

 

If the answer is yes to any of the following questions, please provide further details.

Does the applicant have any educational or behavioral difficulty?    No     Yes (Please explain)

 

Has the applicant ever received a formal disciplinary, suspension or expulsion from school?  No     Yes (Please explain)

 

Has the applicant ever been included in a ‘gifted and talented’ program?  No     Yes (Please explain) 

Has the applicant ever been included in an ESL or ESOL program?  No    Yes (Please explain)

 


Please attach reports if the applicant has ever seen any of the following specialists:

X

Specialist

X

Specialist

 

Speech Therapist

 

Occupational Therapist

 

Learning Support Teacher

 

Educational Psychologist

     D.           How Did You Hear About CIHS?

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.