PTC-REPS

Parents - Teachers Council (PTC): APPLICATION FORM
Rayong English Programme School:

Address: 188/46 Banchang, Rayong 21130 THAILAND

Tel: 038-030803-4 Fax: 038-030806 www.repsrayong.com
Gender:
Full Name:

First NameLast Name
Birth Date:

MonthDayYear
Age:
Current Address:

Address

Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Fax:

Area CodePhone Number
E-mail:
Educational Information:
Career:
Career Experiences:
Personal Involvement/ Connection:
How many children in REPS?
Student Name(1):

ClassFirst NameLast Name
Student Name(2):

ClassFirst NameLast Name
Student Name(3)

ClassFirst NameLast Name
Student Name(4)

ClassFirst NameLast Name
Positions Applied for:

Other
The idea for applying the committee or what will you do for the school?
When available for meeting
Language Skills
THAI:

THAI Speaking (5):

	1	2	3	4	5

1 is Worst, 5 is Best

THAI Writing (5):

	1	2	3	4	5

1 is Worst, 5 is Best

English Speaking (5):

	1	2	3	4	5

1 is Worst, 5 is Best

English Writing (5):

	1	2	3	4	5

1 is Worst, 5 is Best

Parents - Teachers Council (PTC): APPLICATION FORM