Banjul American InternationalSchool

P.O. Box 2596, Serrekunda, The Gambia Tel: (220) 4495920 Fax: (220)4497181 Email:

Application forAdmission

Pleasefillinallitems.Typeorprintinblockletters.Ifyouneedassistancepleasedonothesitatetocontactus.Applying to Grade: School Year:20 /20 ApplicationDate:

FamilyInformation

Student’sName:

LastNameFirstNameMiddleName

MaleFemale

Age:DateofBirth:Place ofBirth:

MM/DD/YYYYCity,State/Province,Country

Address inGambia:HomeTel:

Nationality:Other Passport(s)Held:

Primary Language Spoken atHome:

Siblings at BAES:12

NameGradeNameGrade

34

NameGradeNameGrade

Father’sName:Nationality:

Employer:Agency:

PO Box:Tel:Fax:

Mobile No:E-mailAddress:

Mother’sName:Nationality:

Employer:Agency:

PO Box:Tel:Fax:

Mobile No:E-mailAddress:

StudentInformation

What are the student’s bestsubjects? What are the student’s most difficultsubjects? Have teachers ever expressed concerns about the student’s academic skills and/or emotional needs? _ Yes _No If so, was the student tested by aspecialist? _ Yes _No

Was the student referred for special classes of anykind?_ Yes _NoHas the student ever repeated a grade? If so, whichgrade(s)? _ Yes _No

EducationalBackground

PleaselistALLpreviouslyattendedschools,includingdates.Listthemostrecentfirst.Attachaseparatesheetifnecessary.

Name and Addressof School / From
(mm/yyyy) / To (mm/yyyy) / Languageof Instruction / Telephone/Fax / Emailcontact

EachstudentadmittedtoBanjulAmericanEmbassySchoolmusthaveaparentorguardian(asdesignatedin writingbyparents)residinginTheGambiaandtakingfullresponsibilityforthestudent’swelfare.Ifparentsareabsent from home overnight or longer, please inform the school of temporary guardianship as well as updateson your address and telephone numbers. The School reserves the right to refuse admission to any student whowas dismissed from another school for academic, disciplinary, or other reasons. Any student/parents failing torevealsucharecordatthetimeofenrollmentmaybesubjecttoexpulsionwhentheDirectorlearnsoftheomission. Failuretoprovideprevioustestinginformationwhichcanonlyassisttheschoolinworkingwiththestudentisalsogroundsfordismissal.StudentsexpelledfromBAESarenotentitledtoarefundoftuitionfees.

IherebymakeapplicationforadmissionofthestudenttotheBanjulAmericanEmbassySchoolinaccordancewiththeterms, rules and regulations of the school. I understand there may be admissions testing prior to gradeplacement.

Enclosed with this application are thefollowing:

One passportphotograph

Certifiedcopiesofallpreviousschoolrecordsandreports,includingtesting,IEPs,etc.

Copy of passport or birth certificate to verifyage

I understand that acceptance to the Banjul American Embassy School is based on a complete review of thestudent’s records.Testingmaybenecessaryduringmychild’senrollmentatBAES,andIunderstandthatmysignaturebelowgivestheschoolpermissiontoconductappropriatetesting,andthatIwillbeinformedinadvance.

IntheconsiderationoftheacceptancebyBanjulAmericanEmbassySchoolofthestudentnamedabove,Iagreetoberesponsibleforallchargesincludingincidentalexpenses.Iunderstandthatenrollmentisforafullschoolyear,thatalltuitionchargesaredueatthebeginningofeachtrimester,andthatnoexemption,deduction,orrebatefromtuitionchargeswillbemadeincaseoftemporaryabsence,dismissal,orwithdrawalafterthefirstdayofschoolunlesswithdrawalbecomesnecessaryforreasonsbeyondmycontrolsuchastransferorprolongedillness.Irecognizethatschoolprivilegesmayalsobedeniedforanyotherreason deemedsufficientbytheauthoritiesoftheschool,inaccordancewithitspublishedregulations.Shouldtheschoolfinditnecessarytocloseatanytimeduringtheschoolyearduetoreasonsbeyonditscontrol,Iunderstandthatfeespaidtotheschoolwillnotberefunded.

Signature:Date:

DateReceived:DirectorAppt.:

Screening:

Records reviewedby:Date:

Notes:

Starting Schoolon:In Grade:

Invoice preparedby:Date: