Student's Name

Gender

• Male

• Female

Date of Birth

Place of Birth

Nationality

Student Address

Phone Number

Requested Academic Year

• 2019-2020

• 2020-2021

• 2021-2022

• 2022-2023

Program of Interest

• Day Student

• 5 Day Boarder (Weekly Boarder)

• Full Time Boarder

Requested Entry Term

• Term 1 (Sep-Dec)

• Term 2 (Jan-Mar)

• Term 3 (Apr-Jun)

Current Year Group

Parent/Guardian 1

Relationship to student

Nationality

Home Address (Same with student? If no, please specify below)

Phone Number

Email

Profession

Please select your family situation

• Student lives with parents

• Parents separated

• Parents divorced

Any siblings currently registered at X International School?

What are your child's strengths?

What areas would your child benefit receiving support?

What are your child's extra-curricular activities?

What are your child's interests/hobbies?

What are your expectations as parents?

Please choose the school fees method of payment

• School fees paid directly by the company to the school

• Parents in receipt of a schooling benefit from their employer

• Parents reimbursed for school fees after settlement of the invoice by employee

• Not entitled to receive a schooling benefit, even if available within the company

Contact Person for Invoicing

To whom should correspondence be sent?

• Father

• Mother

• Both Parents

To whom should the billing be sent?

• Father

• Mother

• Both Parents

To whom should the reports be sent?

• Father

• Mother

• Both Parents

Copy of ID or passport of student

Copy of ID or passport of parent or legal guardian

Copy of Residence Permit- for Non Swiss National

Academic records

Immunization records

Parent/Guardian Name

Date