South Island School Withdrawal Form
SECTION 1 - Student Information
Student's Full Name
*
Last Name
First Name
Student's Preferred Name
*
Student's Year Group
*
Please Select
Year 07
Year 08
Year 09
Year 10
Year 11
Year 12
Year 13
Student's Tutor Group
*
Please Select
B1
B2
C1
C2
K1
K2
M1
M2
N1
N2
S1
S2
Parent Name
*
First Name
Surname
Parent Phone Number
*
-
Area Code
Phone Number
Parent Email
*
example@example.com
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Section 2 - Withdrawal Information
Your child's last date of attendance at SIS
*
-
Day
-
Month
Year
Date
Please select the main reason for withdrawing your child
*
Transferring to another ESF school
Continuing education at another school in Hong Kong
Continuing education at a school overseas
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SECTION 3 - Destination School in Hong Kong
Your child's destination school in Hong Kong
*
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SECTION 4 - Destination School Overseas
Reason for continuing education at a school overseas
*
Family relocating overseas
Pursue A Levels
Achieve home status at university
Better facilities
Other
Your child's destination school overseas
*
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SECTION 5 - Your Experience At South Island School
I am satisfied with the curriculum provision.
*
Strongly Agree
1
2
3
4
Strongly Disagree
5
1 is Strongly Agree, 5 is Strongly Disagree
I am satisfied with the care for students.
*
Strongly Agree
1
2
3
4
Strongly Disagree
5
1 is Strongly Agree, 5 is Strongly Disagree
I am satisfied with the academic challenge.
*
Strongly Agree
1
2
3
4
Strongly Disagree
5
1 is Strongly Agree, 5 is Strongly Disagree
Please add any comments you would like to make about your experience at the school.
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SECTION 6 - Parent / Guardian Information
Relationship with student
*
Please Select
Mother
Father
Guardian
Signed Date
*
-
Day
-
Month
Year
Date
Signature
*
I have read and agree to the Transfer Arrangements and ESF Withdrawal Policy.
*
Confirm
Submit
Should be Empty: