Application form for school year

Application for

Details of student

Full Name

Birthday

Place of Birth

Country of Birth

Nationality

Living place

Street

First language

Religion

Gender

Knowledge of German language

Passport available

Remarks

Details about the parents

Father

Full name

Religion

Street

Place

Job

Employer

Adress of Employer

Private Phone

Mobile Phone

Job Phone

E-Mail

Knowledge of German

Legal guardian

Mother

Full Name

Religion

Street

Place

Job

Employer

Adress Employer

Private Phone

Mobile Phone

Job Phone

E-Mail

Knowledge of German

Legal guardian

Civil Status

if divorced or living apart

(Please send us the court judgment of custody decision!)

Other telephone numbers we can call in case your child is injured or sick.

School career

Recent school

Name of school

Place

Class

Kindergarten

Name

Date

Elementary School

Name

Date

Other school visits in chronological order

Primary school (cl. 1-4)

Secondary school (cl. 5-10)

Foreign languages

English

French

Other languages

Bus transportation

Bus transportation required?

Required pick up point

medical sensitivities

Chronic diseases

If yes: Kind of diseases

Allergies

If yes: Kind of allergy

Provision of medical treatment

If yes: Kind of remedy

Learning disabilities

Special needs

Type

other

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