SANDFORD INTERNATIONAL SCHOOL

APPLICATION FORM FOR INTERNATIONAL PLACE

Student’s Name: ______

(Fist) (Middle) (Last)

Date of Birth: Day ______Month ______Year ______Sex ______

(European Calendar) Male Female

Passport No.: ______Country of Issue ______Religion: ______

Nationality: ______County of Birth ______

Class into which entry is requested: ______

Previous School Attended:

(European Calendar)

Name of School Type of School Years Classes Language used

______

______

______

Please mark any areas in which your child has difficulties in the past.

Reading £ Mathematics £ Language £ Behavioral £

Please mark any areas in which your child is gifted/ talented.

Reading £ Mathematics £ Language £

Others (specify): ______

Give details of any disability, medication like to affect normal school activity

______

______

Father’s Name ______

(First) (Last)

Passport No. ______Country of Issue ______Religion ______

Nationality ______Country of Birth ______

Occupation ______Place of Work ______Name of Org. ______

Office Tel.______Fax: ______Box No. ______E-mail ______

Home Tel. ______Mobile ______P.O.Box No. ______

Mother’s Name ______

(First) (Last)

Passport No. ______Country of Issue ______Religion ______

Nationality ______Country of Birth ______

Occupation ______Place of Work ______Name of Org. ______

Office Tel.______Fax: ______Box No. ______E-mail ______

Home Tel. ______Mobile ______P.O.Box No. ______

Language Spoken at home ______Other language spoken ______

Name of emergency contact ______Relationship ______

Office Tel. ______Home Tel. ______Mobile ______

Person responsible for paying fees: ______

Expected date of arrival/admission ______

List sisters and brothers currently attending Sandford International School

Name Age Grade (Year)

______

______

______

______

APPLICATION: a non refundable cash fee of Birr 500.00 (Five Hundred Birr) is payable per application:

·  This application should be submitted to the admission officer along with photocopies of birth certificate and receipt of application fee.

·  Acceptance of this application does not in any way guarantee a place for you child.

Declaration:

a.  The above statements are true.

b.  I have provided proof of Date of Birth and nationality.

c.  If a place is offered, I will inform the school within 7 (seven) working days whether it is accepted, and if accepted will pay the registration fee within that period.

d.  I will ensure the above child when admitted, will abide by the work and discipline requirements of the school.

e.  I understand that once I accept an International place I cannot transfer to a local place.

Signature of parents/Guardian ______Date ______

FOR OFFICE USE ONLY

Receipt No. ______For admission ______Age ______Class ______