Application Form

CONCORDIA INTERNATIONAL SCHOOL

 

A.     Personal Details of Applicant
           

Date of Application:

 

Applying for grade:

  
Applicant's Name: Applicant's Email:      
   (Surname) 

(Other name)

      
Date of Birth: Place of Birth: Sex:

 
  MM/DD/YYYY        
HKID/ Passport No.:

  Nationality:

  
           

B. Educational Details of Applicant
       

List the last school which the applicant attended.

      
Name of School:

Grade/ Form:
Address:
Contact No:  

Duration:
Email:      
           

C. Family Information
   
Father's/Guardian's Name:
     (Surname)             (Other name)      
Home Phone:

Mobile/ Pager:

Work Phone:

Work Fax:
Residential address:
Email:      
Mother's/ Guardian's Name:
    (Surname)              (Other name)      
Home Phone:

Mobile/ Pager:

Work Phone:

Work Fax:
Residential address:
Email:      
For Emergency, the school should contact:        
Name:

Phone:
 

(Surname)  

(Other name)

        
           

D. Special Information
           

Has the applicant repeated any grades?

  Yes No  
         

If yes, please explain:

 
       

Has the applicant ever been suspended/ expelled from school?

 Yes No  
         

If yes, please explain:

 
           

Has the applicant ever been diagnosed as having learning or emotional difficulties?

 Yes No  
         

If yes, please explain:

 
           

Does the applicant have any health or physical problems?

 Yes No  
         

If yes, please explain:

 
           

What is the applicant's personal assessment of his/ her English level?
 
Spoken ability ExcellentGood  Average Fair Poor
 
Written ability ExcellentGood  Average Fair Poor
 
Listening ability ExcellentGood  Average Fair Poor
           

What are the plans of the applicant? (It is helpful to know why the applicant wants to attend

an International School and what are his/ her plans after leaving Concordia.)
           

           

 

 Note: All information is provided in the strictest confidence and Concordia International School adheres to the recent guidelines on the access and protection of personal data provided by the Home Affairs Branch of the Hong Kong Government.

     

 When done, please  or