| APPLICATION FOR ADMISSION 入园申请表 |
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| Applicant’s Information 学生基本资料 |
Student’s Name/姓名:__________________________________________
Family Name/姓 First Name/名 Middle Name |
| Preferred Name 小名: _______________________ |
□男Male □女Female |
Date of Birth 生日 ________ /________ /________ Nationality/国籍:__________________
mm/月 dd /日 yyyy /年 |
| Beijing Address/北京地址: ________________________________________________________________ |
| Home Telephone 电话: ____________________ |
Fax 传真: _________________________ |
| Home Telephone/家庭电话: _____________________ |
Postal Code/邮编:______________________ |
| Family Information/家庭资料 |
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Father / Guardian父亲 |
Mother / Guardian母亲 |
| Name 姓名 |
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| Nationality 国籍 |
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| Occupation 职务 |
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| Company Name 工作单位 |
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| Company Add 工作地址 |
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| Office Phone 工作电话 |
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| Mobile 手机 |
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| E-mail 电邮 |
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| Sibling’s names & ages 兄弟姐妹的姓名及年龄: |
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1. ___________________________________
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2. ____________________________________
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| 3. ___________________________________ |
4. ___________________________________ |
| Student's Academic Profile 学生入园历史 |
| School Attended 曾就读的幼儿园 |
Location 地点 |
Dates Attended 日期 |
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| Language Information 母语环境 |
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Mother Tongue/ 母语 |
Other Language/ 其它语言 |
| Student/ 学生 |
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| Father/ 父亲 |
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| Mother/ 母亲 |
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| Parent’s Expectation 家长期望 |
Please tell us your main goal(s) for your child in school 请告诉我们您送孩子到本园的主要目的
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| Personal Record 孩子成长历史 |
The following information will be beneficial to the principal and teachers in working with your child and will enable us to be more effective in dealing with different problems and situations as they arise. Please be assured that all information will be kept strictly confidential. 您提供的下列信息将为您孩子的老师以及园长与孩子之间的互动有相当大的帮助,可以使我们更有效地解决孩子的行为问题。我们向您郑重承诺,将对这些信息严格保密。
Special Eating Habits 特殊饮食习惯 _______________________________________________________
Favorite Food 喜欢吃的食物________________________________________________________________
Breakfast Habits 早餐习惯_________________________________________________________________
Usual Naptime Span and Special Napping Toys 午睡时间段和午睡习惯搂抱的玩具或物品
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Activities your child enjoys 您的孩子特别喜欢的活动:
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| Outdoor Activities 室外活动 |
Favorite Toys 喜欢的玩具 |
| Favorite Books 喜爱的书籍 |
Favorite Group Game 喜爱的团体游戏 |
Child’s fears or apprehensions 孩子是否对什么东西或事物恐惧
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Other classes the child attends (e.g. dance, music) 孩子选学的其他课程(如舞蹈,音乐)
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Special situation (e.g. custody, learning disability) 特殊状况(如特别看护,学习失能)
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Other people your child sees frequently 孩子经常接触的其他人
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Positive disciplinary measures used at home 家庭中经常使用的积极纪律约束措施和方法
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1-4 years old only 1至4岁孩子的家长请回答下列问题:
Is your child toilet trained孩子是否已受过如厕训练?
□Yes 是 □No 否 □In process 正在训练 |
What does your child say when
wishing to use the toilet
孩子欲大小便时使用的词是: |
Does your child need help in dressing 孩子
是否能自己穿脱衣服? □Yes 是 □No 否 |
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| Service/学校服务 |
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Does the student need school bus service? If yes, please provide home location (area)/您的孩子需要校车服务吗?如需要,请完整填写家庭地址。
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Yes/No是否同意: I give permission for the school to photograph/film my child for any KinStar publication. I will not hold the school or its staff responsible should there be any misuse of photos or films, which is beyond the jurisdiction of the school or its staff. This release is signed in good faith / 我的孩子的照片或录像可在海嘉国际双语学校各种刊物或宣传材料中被刊登。在学校或员工的管理范围外,如被使用,我们将不追究学校或员工的任何责任。
□ Yes/是 □ No/否
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| Fee Payments/付费方式 |
| School Fees will be paid by /付费方式: |
□Parents/Guardians/家长或法定监护人
□Company/公司 |
| Admissions Procedures/入园手续 |
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To apply for enrollment, please submit the following materials/申请入学时,请准备以下材料:
* The completed application form/填写完整的入学申请表
* A completed comprehensive health report/填写完整的健康报告
* Two passport size photos of the student/两张学生的护照尺寸照片
* A copy of the picture page of the student's passport/学生的护照复印件
* A copy of the applicant's immunization record/预防疫苗注射记录表影印页
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I hereby apply for admission to the KinStar Bilingual School for my child ______________________. If my child is accepted, I will ensure that payment of tuition and fees is made in full and on time.
在此,我为我的孩子 _________________________ 提交入学申请。我清楚了解,一旦我的孩子被录取,我有责任保证按时交纳学杂费。
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Signature of Parent/家长签名 __________________ Date/日期 __________________ |
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| For Office Use Only 学校填写 |
Date Form Received: __________________ □ Application Fee Paid: ___________________
□ Deposit Paid: _______________________ □ Tuition and Fees Paid: __________________
Waiting List for: ______________________ Class/Teacher: ___________________________
Special Notes: __________________________________________________________________________ |
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