School Application Form

School Application Form
Student Name

First Name Last Name
Date of Birth

Month Day Year
Date
Age
Place of Birth
Gender

Male Female
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Grade Level
School Year
School Last Attended
School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First Name Last Name
Occupation
Phone Number
Please enter a valid phone number.
Parent/Guardian's Name - Secondary

First Name Last Name
Occupation
Phone Number
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First Name Last Name
Emergency Phone Number
Please enter a valid phone number.
File Upload

2x2 Colored ID Picture, birth certificate, report card from the previous school, certificate of good moral, and medical clearance.
Health History
If the student have any allergies, please list them down below:
Does the student currently taking any medications? If yes, please list them down below:
Was the student previously hospitalized or undergo any surgery?
Does the student have any medical conditions that you would like to declare?
Reminders
TEST. The school required new students or a transferee to take an exam in order to get admitted to the school.

INTERVIEW. The school admin will conduct an interview with the student as part of the screening test.

REQUIREMENTS. It is important to pass and complete all requirements before school starts. Failure to do so may delay the student from coming to school.

MEDICAL CLEARANCE. The school required all students to have a yearly physical exam. For new students, medical clearance for their doctor or school doctor is required.

BEHAVIOR. A certificate of good moral is required in order to get admitted to this school. Please request it from the previous school as soon as possible.
Date Signed

Month Day Year
Date
Parent/Guardian Signature

Clear
Should be Empty:

Call Us

Email Us

School Application Form

Parent/Guardian's Information

File Upload

Health History

Reminders

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Contact Us

Address

Phone

Email