I N F O R M A T I O N S H E E T
APPLICANT INFORMATION
LAST NAME:
*
FIRST NAME
*
MIDDLE NAME
*
Middle Initial
*
Grade Level this incoming School Year
*
Please Select
Toddler
Nursery I
Nursery II
Kindergarten
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI
NICKNAME:
AGE:
*
RELIGION:
BIRTHPLACE
BIRTHDAY
*
/
Month
/
Day
Year
Date
GENDER:
*
Male
Female
New or Old Student
*
New
Old
Address
*
Street Address
Barangay
City
State / Province
Postal / Zip Code
TELEPHONE/CELLPHONE NUMBER:
*
UNIFORM SIZE:
FAMILY BACKGROUND
FATHER:
*
Occupation:
Employer:
MOTHER:
*
Occupation:
Employer:
Name of Siblings & School
EDUCATIONAL BACKGROUND
NAME OF SCHOOL:
*
SCHOOL LEVEL & AWARDS
SPECIAL TALENT:
SPECIAL INTEREST:
PARENT'S EXPECTATION:
HEALTH BACKGROUND
Immunization:
*
Complete
Incomplete
None
Asthma and/or Allergies
*
Yes
No
Previous Illness/Hospitalizations:
Pediatrician:
*
Special Care Required:
NAO-Ed Camper's Info-sheet
Internet Access Availability (select those available gadgets to view Online Lectures and Learning Materials via gDrive)
*
Smartphone
Laptop
Desktop
Tablet
In-school Scheduled Internet Access (I-SIA)
None
Other
Status of Internet Connection
*
No Internet Connection
Unstable/Slow Internet Connection
Stable/Fast Internet Connection
Who among the household can assist students to access NAO-Ed?
*
Parents/Guardians
Siblings
Grandparents
Extended Members of the Family
None
Can study independently
Other
In case of emergency; please notify:
Name:
*
Relation:
*
Address:
*
Cel./Tel.No.:
*
I certify that all information given were correct and I fully agree to school's no refund policy.
*
Yes
No
Signed by: (FULL NAME)
*
Date of Application
*
/
Month
/
Day
Year
Date
Back
Next
REMINDER:
Students will only be officially enrolled if you have received an Official Receipt from the Camp Office which will only be provided once you have sent to us your proof of payment of the tuition/downpayment fee. Click "Submit" to be reserved in our classes. [Payment options will be posted on this page after submission]
Preview PDF
Submit
Should be Empty: