ST. MARKS STUDENT APPLICATION FORM

ST. MARKS AUSTRALIAN INTERNATIONAL SCHOOL STUDENT APPLICATION FORM
Student Name*

First NameLast Name
Nickname*
Date of Birth*

DayMonthYear
Date
Age*
Gender*
Attach Student Photo

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Nationality*
Passport # (Foreign Student) / Thai ID # (Thai Student)*
Attach Passport (Foreign Student) / Thai ID (Thai Student)

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Attach Child's Birth Certificate

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide Google Map Link information of your address
Languages Spoken*
Language Spoken At Home*
Level of English*

Very GoodGoodFairA LittleNone

Previous School Attendance Record*

Friendship Patterns (Please check the appropriate box)*

Makes friends easily and quicklyIs initially shy with new peopleSeems to prefer older/younger childrenPrefers a small group of close friendsUsually enjoys going to school
Interest*
Favourite Activities*
Siblings (include age/birthdate)

Medical History
Your child's blood group (please indicate whether it is Rh+/Rh-*
Does your child have any food limitations*

YesNo
If 'Yes', please explain*
Does your child have physical needs or limitations of which the School should be aware?*

YesNo
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?*

YesNo
If 'Yes', please explain*
Hospital and Doctor Information
Family Doctor
Hospital
Phone/Mobile Number

Area CodePhone Number

ST. MARKS AUSTRALIAN INTERNATIONAL SCHOOL STUDENT APPLICATION FORM