ST. MARK'S INTERNATIONAL SCHOOL STUDENT APPLICATION FORM
Student Name
*
First Name
Last Name
Nickname
*
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Gender
*
Male
Female
Nationality
*
Place of Birth
*
Country/Passport #
*
Issue Date
*
Expiry Date
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone/Mobile Number
*
-
Area Code
Phone Number
Language Spoken
Language Spoken At Home
Level of English
Very Good
Good
Fair
A Little
None
Previous School Attendance Record
Age
Class Level
Name of School
City/Country
From
To
1
2
3
Friendship Patterns (Please check the appropriate box)
Makes friends easily and quickly
Is initially shy with new people
Seems to prefer older/younger children
Prefers a small group of close friends
Usually enjoys going to school
Interest
Favourite Activities
Siblings (include age/birthdate)
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Medical History
Your child's blood group (please indicate whether it is Rh+/Rh-
Does your child have any food limitations
Yes
No
If 'Yes', please explain
Does your child have physical needs or limitations of which the School should be aware?
Yes
No
If 'Yes', please explain
Has your child been seen by an Educational Psychologist or received any kind of special help because of learning difficulties or social problems?
Yes
No
If 'Yes', please explain
Family Doctor
Hospital
Phone/Mobile Number
-
Area Code
Phone Number
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Parent Information
Father
Name
First Name
Last Name
Nationality
Father's Phone Number
-
Area Code
Phone Number
Father's Email
example@example.com
Educational Attainment
Occupation
Employer
Office Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
-
Area Code
Phone Number
Mother
Name
First Name
Last Name
Nationality
Mother's Phone Number
-
Area Code
Phone Number
Mother's Email
example@example.com
Educational Attainment
Occupation
Employer
Office Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
-
Area Code
Phone Number
Guardian
Name
First Name
Last Name
Nationality
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parents are:
Married
Separated
Divorced
Father Deceased
Mother Deceased
In case of separation or divorce or if one parent is deceased,
Are parent(s) remarried?
Father
Mother
Neither
Child's live with
Father
Mother
Guardian
In case of Emergency, contact
Father
Mother
Neither
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General Information
How did you hear about St. Mark's International School?
Friends or Family
St. Mark's Website
ISAT
St. Mark's Summer School
Facebook
Magazine or Newspaper
Other
What prompted you to enrol your child at St. Mark's International School?
School's Genral/Academic Reputation
Range of Extra-Curricular Programs
Olympiad Competitions
Language Classes (Mandarin/Thai)
Facilities
Tuition Fee
Christian Values
Other
Are you interested in our School bus service?
Yes
No
Maybe, please provide information
Please list any families you know with children enrolled at St. Mark's International School.
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