D-PREP Scholarship

STUDENT INFORMATION
School Apply For
Student Name*

First nameMiddle nameLast name
FemaleMale
Nickname
Emergency Phone No. *
Please follow your local phone number format. Format: (000) 000-0000[0][0][0].
Birth Date

MonthDayYear
Date
Passport ID
Incoming grade*
Student Nationality*
Previous Education:

List current and previous schools beginning with the most recent school attended.
Former School 1
Year of Study 1
Location 1
Former School 2
Year of Study 2
Location 2
Former School 3
Year of Study 3
Location 3
Additional Information:
YesNo
Date
YesNo
Date
Previous health limitations
Special dietary requirements

FATHER'S INFORMATION
Father Name*

First nameMiddle nameLast name
Father Nationality*
Father Passport ID
Father Mobile Phone*
Please follow your local phone number format. Format: (000) 000-0000[0][0][0].
Father Email*
example@example.com
MOTHER'S INFORMATION
Mother Name*

First nameMiddle nameLast name
Mother Nationality*
Mother Passport ID
Mother Mobile Phone *
Please follow your local phone number format. Format: (000) 000-0000[0][0][0].
Mother Email*
example@example.com
GUARDIAN INFORMATION / EMERGENCY CONTACT
Guardian Name*

First nameMiddle nameLast name
Guardian Phone Number *
Please follow your local phone number format. Format: (000) 000-0000[0][0][0].
ParentsFatherMotherGuardian

REQUIRED DOCUMENTS AND EVIDENCE
Student's documents
Upload student photo
Upload student's passport or Thai birth certificate for Thai citizens

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Upload student's passport or Thai birth certificate for Thai citizens
A copy of the non-immigrant "Ed" visa for foreign students (if any)

Cancelof
A copy of the non-immigrant "Ed" visa for foreign students (if any)
A copy of the Thai residence registration

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A copy of the Thai residence registration
A copy of previous school records

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A copy of previous school records
Special academic or evaluation reports, if applicable

Cancelof
Special academic or evaluation reports, if applicable
Recommendation Form completed by students current school

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Recommendation Form completed by students current school
Parents'/Guardian's documents
Upload father photo
Upload mother photo
Upload guardian photo
A copy of father's passport or Thai I.D. card

Cancelof
A copy of father's passport or Thai I.D. card
A copy of mother's passport or Thai I.D. card

Cancelof
A copy of mother's passport or Thai I.D. card
Student Portfolio

Cancelof
Student Portfolio
Report Card from the Past 2 Years*

Cancelof
Report Card from the Past 2 Years*
SCHOOL MEDIA POLICY
I consent
Certification:

We certify that the above information is complete and true to the best of our knowledge. Upon enrollment, it is understood that the students, parents, and/or guardians agree to comply with school rules and regulations.
Signature of Parent/Guardian*
Date of Application

DayMonthYear
Date
utm_source
utm_medium
utm_Campaign
utm_Term
utm_Content
GCLID
fbclid
URL Source
Description
Should be Empty:

STUDENT INFORMATION

Previous Education:

Additional Information:

FATHER'S INFORMATION

MOTHER'S INFORMATION

GUARDIAN INFORMATION / EMERGENCY CONTACT

REQUIRED DOCUMENTS AND EVIDENCE

Student's documents

Parents'/Guardian's documents

SCHOOL MEDIA POLICY

Certification: