Application Form Page 1 - The British School Manila

THE BRITISH SCHOOL MANILAAPPLICATION FORMAccredited by:COUNCIL ofINTERNATIONALSCHOOLSAdmissions Office36th Street University Park, Bonifacio Global City1634 Taguig, Metro Manila PhilippinesTelephone No. (632) 860-4800 Fax No. (632) 860-4900Email admissions@britishschoolmanila.org

COUNCIL ofINTERNATIONALSCHOOLSTHE BRITISH SCHOOL MANILAMember of Incorporated Association of Preparatory Schools (IAPS), Council of International Schools (CIS),Federation of British International Schools in South East Asia (FOBISSEA)DATE OF APPLICATIONCURRENT YEAR LEVEL / GRADEAT PRESENT SCHOOLdaymonthAPPLYING TOYEAR LEVELyearEXPECTED ENTRY DATEACTUAL ARRIVAL DATE IN MANILAday month yearPhoto of StudentdaymonthyearPERSONAL INFORMATIONNAME OF STUDENT(As on birth certificate and /or passport)Last Name First Name NicknameDATE OF BIRTHGENDERAGE ON DATE OF APPLICATIONday month yearRELIGION NATIONALITY CITIZENSHIP( ) Male ( ) FemaleSTUDENT’S PASSPORT NUMBERISSUED ATLANGUAGE SKILLSSTUDENT’S FIRST LANGUAGECompetency Fluent Conversational WeakReadingWritingSpeakingListening(Understanding)STUDENT’S SECOND LANGUAGECompetency Fluent Conversational WeakReadingWritingSpeakingListening(Understanding)Language spoken at homeIf English is not your first language can you please answer the following questions:1. When did you start learning English?Age2. Where did you have ESL lessons?At schoolWith a private tutorAt language schoolCombination of aboveDo both parents speak English? Yes No3. If you had ESL lessons at schoolHow many lessons did you have a week?How long were these lessons?Were you withdrawn from any core subjects to havethese lessons?4. If you study with a private tutor or language schoolHow many lessons did you have a week?How long were these lessons?THE BRITISH SCHOOL MANILA36th Street, University Park Bonifacio Global City 1634 Taguig Metro Manila, PhilippinesTelephone (632) 860-4800 Fax (632) 860-4900Email: admissions@britishschoolmanila.org Website: www.britishschoolmanila.org

FAMILY INFORMATIONThe legal guardians of the applicant are:FatherMotherPhotoStepfatherStepmotherPhotoOthers(Please specify)Others(Please specify)FATHERS’/MALE GUARDIANMOTHERS’/FEMALE GUARDIANLAST NAMELAST NAMEFIRST NAMEFIRST NAMENATIONALITY(as per passport)NATIONALITY(as per passport)NAME OF EMPLOYMENTCOMPANYNAME OF EMPLOYMENTCOMPANYINDUSTRYINDUSTRYPOSITIONPOSITIONADDRESSADDRESSOFFICE TELOFFICE TELOFFICE FAXOFFICE FAXMOBILEMOBILEEMAILEMAILCONTACT ADDRESS IN COUNTRY OF CURRENT RESIDENCETELEPHONEHOME ADDRESS IN THE PHILIPPINESFAX MOBILE EMAILTELEPHONEFAX MOBILE EMAILMAILING ADDRESS IN THE PHILIPPINES FOR BILLING, REPORT CARDS AND CORRESPONDENCESSame as Home AddressIf not please specify

EDUCATIONAL HISTORY1. Current SchoolCurrent Year Level Attended Start Date Leaving DateHead of SchoolComplete Contact DetailsAddress 1Address 2Address 3CountryTelephone Nos.Email address of Head / Principal2. Other Schools AttendedAge Year Level School Name Country Year Completed NCT/GCSE and other(Month-year to Month-year) Results Achieved3+4+5+6+7+8+9+10+11+12+13+14+15+16+NurseryReceptionYear OneYear TwoYear ThreeYear FourYear FiveYear SixYear SevenYear EightYear NineYear TenYear ElevenYear TwelvetotototototototototototototoPlease attach the last two years’ reports. For students applying from a non-British system please include keys to grading systemused. All documents must be in English. Also provide sample of English and Maths work.

PUPIL INTERESTDoes your child have any special interest/ talents/hobbies in:SportsArts & DesignMusicDrama Dance OthersMajor SportsHow do you rank your level of ability on the following:Proficient Satisfactory Limited1. Swimming2. Track and Field3. Football4. Basketball5. Volleyball6. Water Polo7. Anything to add on any sportsnot mentioned above?Not ApplicableDoes your child represent the school/ club/ country in any sporting, musical, drama event?If yes, Please describe activity (ies)YesNo

CHILD INFORMATION SHEETThis information helps us to assess your child’s educational needs. Please complete this form as fully as possible. If there isany information that you would prefer to share in person, please approach your child’s teacher or Head of SchoolYES NO1. Has your child ever experienced difficulties settling in at a new school? (If yes, please give details)2. Has your child ever had any behavioural difficulties ? (If yes, please give details)3. Has your child been asked to leave school because of any behavioural / disciplinary problem?4. Do you have any concerns about child’s development? (i.e. does he / she have difficulty making friends?Does he / she only have friends who are older or younger? (If yes, please give details)5. Has your child received any special education input in the past? (e.g. an individual education programme-IEP, extra help with reading / spelling, an assessment by an educational psychologist, etc.)? If yes please givedetails and / or copies of reports which have not been passed to BSM.6. Do you think your child has any special educational needs? Are there any subjects or particular areas that you feelhe / she needs a little extra help in? (If yes, please give details)7. Is there a family history of dyslexia (reading and spelling problem) or any other educational difficulties?(Please give details)8. Does your child have (or has ever had) any visual, hearing or motor problems?9. Has your child participated in advanced level classes? (i.e. Gifted and Talented)

YES NOAPPLICABLE FOR PRIMARY SCHOOL APPLICANTS (Nursery - Year 6)10. Any complications during labour or just after birth? (induced labour, long labour, emergency caesarian section, childin distress, cord wrapped around the neck, low birth weight, jaundice, infection, etc)11. Mother’s general health during prenancy? (Illness, accidents, hospitalization, etc) Length of pregnancy?12 Is (or was) prone to coughs, colds and ear infection?13 Does your child have (or has ever had ) feeding or diet problems (e.g. problems with sucking, chewing,swallowing, drooling, etc)?14. Does your child eat a “normal” diet now or does he / she tend to prefer “soft” easy to chew foods?15. Please try to provide approximate ages for when your child first achieved the followingcrawlingfirst clear wordswalkinghaving a conversationstandingtoilet trainingdressing selffeeding self16. Please add any information which you feel would help us in providing for your child’s needs.

APPLICABLE FOR SENIOR SCHOOL APPLICANTS (to be completed by the student)17. What recognition and or IGCSE /GCSE result (distinctions, honours, awards, etc.) have you received in youracademic and extra curricular, community & other activities?18. Which among these do you value most? Explain why.19. Describe your interests and hobbies.20. Describe a major community activity that you feel is very important to you. Explain why you consider it important.21. As briefly and explicitly as possible, explain why you would like to attend The British School Manila.22. Please add any information which you feel would help us in providing the right education for you.FOR IB APPLICANTS (YEAR 12 AND 13) ONLY.23. What are your plans after you graduate from The British School Manila - IB Programme?

CHILD HEALTH RECORDIMMUNISATIONImmunisation HistoryDATE DATE DATE DATE DATE DATE1st 2nd 3rdPolio*DPT Diptheria/ Pertusis/ Tetanus*DT Diptheria/ TetanusHIB (Haemophilous Influenza B)MMR (Measles, Mumps & Rubella)TyphoidHepatitis AHepatitis BBCG (Tuberculosis)Meningitis A & CJapanese encephalitisAny other* initial series given in infancyHEALTH HISTORYAny problem at birthWhat is your child’s blood type?RH GroupMedication taken on a regular basisAny known allergies (e.g. elastoplast, iodine)MedicationHas your child ever been hospitalised?Yes ( ) No ( )If so for what?Any Other Relevant Information

Illness Date Illness DateChicken poxRubellaMeaslesMumpsPertussisPoliomyelitisTuberculosisHepatitis AHepatitis BBehavioural disordersHeart problemsEpilepsyFebrile ConvulsionMeningitisDiabetesAsthmaChronic ear infectionUrinary Tract InfectionEczemaOthersDo you have any other worries concerning your son’s/ daughter’s health? (Please explain)In emergency, if unable to contact parent, contact:Student’s PediatricianAddressPlease indicate any other relevant family circumstancesINSURANCE POLICY DETAILSMedical Insurance CompanyTelephone Nos.Policy Nos:Please note that it is mandatory that this medical insurance covers accidents and injuries from sports and other activities.AUTHORIZATIONI hereby give/do not give my consent to have my son/ daughter participate in the health procedure listed below:1. First aid treatment in school medical room2. Permission for minor medications paracetamol/ non-prescriptionYesYesNoNo3. To take the student to hospital in case of emergency (every effort will be made to contact you or the named emergencycontact first)YesNoI undertake to pay any cost arising from such treatment and from injury or illness while at the British School or on any schoolrelated activity.It is the parents’ responsibility to inform the British School Manila Medical Clinic of any update regarding child’s medical record.Parent/Guardian Signature:(Please sign over printed name)Date day month year

SIBLING INFORMATIONNAME OF SIBLINGSNAMEGENDERDATE OF BIRTHSCHOOLFINANCIAL DETAILSWHO WILL BE RESPONSIBLE FOR THE PAYMENT OF FEES?ParentsCompanyPERSON TO ADDRESS STATEMENT OF ACCOUNT (FOR COMPANY-SPONSORED APPLICANTS)NAMEDEPARTMENTTELEPHONE NOSPOSITIONEMAIL ADDRESSFAX NOSVISA & OTHER INFORMATIONVisa Status :Visa Type :Visa Valid Until :ACR ID-Card Number :(as indicated in front of the card)ACR ID-Card Serial Number :(as indicated at the back of the card)ACR ID-Card Issuance Date :Authorized Stay: :Passport Nos: :Expiration Date: :WILL YOU REQUIRE BUS TRANSPORT?YesNoHOW DID YOU FIND OUT ABOUT THE SCHOOL?ReferralPublicationAdsWebsiteOthersREFERENCESKindly provide us two names with the telephone nos, email address of the referees who will be completing the recommendation form.1. Name2. NameRelationRelationTelephone NosTelephone NosEmail AddressEmail Address

CONDITIONS OF ENROLMENTThe submission of this Application Form for my child at the British School Manila implies the following:I agree to abide by the rules and procedures of the School as set out by the Board of Governors and the Leadership Team.I understand that all expatriate students must have an appropriate valid visa before enrolment is accepted and throughout thetime of enrolment.I will support the learning provided by the School, read the School’s newsletters and also be part of the School’s Contact Listand my child’s Class Emergency Contact List.I will ensure that my child’s medical insurance covers accidents and injuries from sport and other activities.I understand and agree that the school shall not be liable for any injury or any loss or damage of any kind whatsoever which mychild may sustain at any time either within the School premises, or on authorised field trips, which is not directly and solelyattributable to the negligence of the School.I understand that the School, for any just and valid reason/s and after due process, may require the withdrawal of a studentfrom the School as may be determined by the Head of School. Reasons for this may include, but are not limited to, the student'sinability to participate in or benefit fully from the School's curriculum or the parents'/guardians' failure to co-operate with theSchool to support the needs of a student. The School's decision is final.I grant consent for the use of photographs, video, films, written or visual class works of my child on the school website, and/orfor advertising and/or for the school’s printed materials.I understand that the School welcomes parent interaction and I also understand that timely and respectful communicationbetween home and school is vital.I understand that at the discretion of the Head of School, the school reserves the right to expel or temporarily suspend a childfrom school for bad behavior or non payment of Tuition fees.I accept that written notice for withdrawal must be given in writing addressed to the Head of School one month prior to theend of each term. Failure to comply with these requirements will entitle the School to full payment of the fees for the followingterm in respect of each child to be withdrawn.I confirm that I have read and understood all terms and conditions of my child's / children's enrolment including but not limitedto those contained in the admissions pack. I also agree to be bound by these written terms and conditions which will prevailover any other representations, verbal or otherwise, unless signed by the Head of School.DECLARATION AND SIGNATUREI declare that the information on this form is true and correct. I acknowledge that incorrect information or withholding ofrelevant information provided in this application might invalidate and/or cancel the enrolment of my child.I agree to abide by the regulations of the British School Manila.I have read and I fully understand the above terms and conditions and express my agreement to comply with the school policiesset out above.DATEFather’s Signature / Step FatherOthersPlease specifyday month yearDATEMother’s Signature / Step MotherOthersPlease specifyday month yearTHE SCHOOL RESERVES THE RIGHT TO REFUSE ADMISSION TO ANY STUDENT WHO DOES NOT MEET ALL THE ADMISSIONREQUIREMENTS AND CRITERIA