Application Form          

* Student’s Information
Family or Last Name		Given Name(s)
Date of Birth		Gender (Male /Female)
Nationality
Passport No/ID Card No.
First Language	English French Russian Chinese Spanish Korean Japanese Other Language/s Spoken	Other Language/s Spoken	English French Russian Chinese Spanish Korean Japanese Other Language/s Spoken
Grade Applying for	Pre-K Kindergarten PYP1 PYP2 PYP3 PYP4 PYP5 MYP1 MYP2 MYP3 MYP4 MYP5 DP1 DP2	First Day in School
Home Address in Changchun
School Bus	Yes (AMPM)   No       NoLunch Yes   No

* Educational information
Name of the School	Attendance Date	Grade	Age

Sibling Information (Other Children in the Family)
Name	DOB	School	Grade

*Parent / Guardian Information
	Father/ Guardian	Mother/ Guardian
Name
Position
Company Name
Company Address
Tel.
Mobile
Fax
E-mail

Emergency Contact Information
Name		Language	English French Russian Chinese Spanish Korean Japanese Other Language/s Spoken
Relationship	Father Mother Guardian	Mobile
Home Tel.		Work Tel.
Name		Language	English French Russian Chinese Spanish Korean Japanese Other Language/s Spoken
Relationship	Father Mother Guardian	Mobile
Home Tel.		Work Tel.