Maud Williams High School Application Form
Enter the information listed below.
Section I: Personal Data
Name
First & Middle Name
Last Name
Address
Phone Number
Please enter a valid phone number.
Email
example@example.com
Social Security Number
DATE OF BIRTH
-
Month
-
Day
Year
Date
Sex
Male
Female
Age
Country of Birth
Nationality
Residence Permit Number (if applicable)
Religion
Father/Stepfather/Guardian's Name
Condition
Alive
Deceased
Marital Status
Single
Married
Divorced
Father/Stepfather/Guardian's Home Address
Father/Stepfather/Guardian's Occupation
Father/Stepfather/Guardian's Place of Employment/Business Owned
Father/Stepfather/Guardian's Cell Number
Please enter a valid phone number.
Father/Stepfather/Guardian's Work Number
Please enter a valid phone number.
Mother/Stepmother/Guardian's Name
Mother/Stepmother/Guardian's Condition
Alive
Deceased
Mother/Stepmother/Guardian's Marital Status
Single
Married
Divorced
Mother/Stepmother/Guardian's Home Address
Mother/Stepmother/Guardian's Occupation
Mother/Stepmother/Guardian's Place of Employment/Business Owned
Mother/Stepmother/Guardian's Cell Number
Please enter a valid phone number.
Mother/Stepmother/Guardian's Work Number
Please enter a valid phone number.
Person responsible for fees
Phone Number
Please enter a valid phone number.
Child's Rank in Family
Number of brothers
Number of sisters
Emergency Contact 1
Emergency Contact 1 Phone Number
Please enter a valid phone number.
Emergency Contact 2
Emergency Contact 2 Phone Number
Please enter a valid phone number.
Emergency Contact 3
Emergency Contact 3 Phone Number
Please enter a valid phone number.
Section II: School Information - Enrollment Status
High school Status
first time application
transfer student
BEMIS Number
Primary School Attended
Secondary school Attended (transfer)
Form you were in:
Major studied at previous school
Year graduated from primary school
Clubs joined
Awards (Honor roll, Festival of Arts etc)
Shirt Size
xs
Small
Medium
Large
xlarge
xxlarge
Section III: Medical Information
State any medical conditions that apply to the student
Allergy (medication, food)
Is there any medical condition that prevents the child from participating in P.E.? (Upload proof at the end of the document)
Section IV: Parental Support
Indicate any skills or areas in which you will be able to assist the school:
Electrical
Plumbing
Carpentry
Cooking
Music/band
Other
Section IV: Financial Assistance
Indicate whether financial assistance will be needed from the Ministry of Education
Yes
No
If yes, kindly indicate your annual income & annual expense
Section VI: Document Upload
Kindly upload all documents that are required for the successful completion of the form.
1. Passport size picture 2. Standards 4-6 report card 3. Copy of birth paper or passport 4. Copy of Social Security Card
File Upload
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Section V: Agreement
As a student of MWHS, I agree to"
attend an orientation
abide by rules and policies
take responsibility for my actions
respect self, others and school property
Applicant's Signature
Date
-
Month
-
Day
Year
Date
I pledge to provide support for my child by:
attending orientation with my child
make prompt payment to secure a space at the school
attend parent meetings, workshops and school functions where necessary
monitor my child's social and academic
visit school regularly to check my child's progress
address in a prompt and respectful manner any issues pertaining to my child
Parent/Guardian's Signature
Date
-
Month
-
Day
Year
Date
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