Application for Admission

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1 Australian International School Hong Kong 3A Norfolk Road, Kowloon Tong, Kowloon, Hong Kong T: F: E: W: Application for Admission Student s Name: (BLOCK LETTERS) (Family) (First) Note: All of the following documents MUST be submitted with the application BEFORE the application can be processed For Student: 1. A copy of annual and/or semester reports for the past two(2) years (Any comments in Chinese or other languages need to be translated) (OFFICE USE ONLY) Date Received 2. A copy of birth certificate 3. Two(2) recent passport style photographs 4. A copy of the passport pages showing student s photograph ID 5. A copy of the HK visa approval stamp in passport, if the student is not a HK permanent resident (if not currently available, essential before student s first day at school) 6. A copy the HKID card, if available 7. Completed Debenture Preference form 8. A non-refundable and non-transferable application fee. (Please refer to Application Information under the Admissions tab on the school website at for the current application fee amount) For Parents: 9. A copy of both parents passport pages showing the photograph ID 10. A copy of both parents HKID cards, if available Payment may be made by cash, HKD cheque, direct deposit or internet / telegraphic transfer to the school s bank account (see page 6 for bank account details). Credit card payments are not available. Offer: Please make all cheques payable to Australian International School Foundation Limited. Notes for the completion of this form: 1. Applications may only be submitted two years prior to intended date of entry. The Application Date may form a part of the selection process. 2. This application is only valid for the academic year for which the applicant is applying. 3. The completion of this form with accurate information is required for consideration of, and continuation of, enrolment. Incorrect or withheld information may affect continued enrolment. 4. AISHK reserves the right to contact some or all of previous schools attended to assess the educational needs of the student seeking a place at AISHK. 5. Please complete all sections of the application form. Immigration: We are unable to accept students who do not satisfy the criteria set by the Immigration Department regarding student visas. Personal data: The personal data provided by you in this application form will be used for the following purposes: (i) processing of the applications and selection of applicants for admission to the school; (ii) as evidence for verification of the applicant s identity, academic records and other information; and (iii) for administrative and security purposes relating to the operation of the school. Disclaimer: Australian International School Foundation Limited reserves the right to alter the conditions of the Application for Admission without further notice to the applicant. SCHOOL REGISTRATION NO. ED1/21627/95 Rev Mar/2016

2 Student details Applying for Year Group: Date of Expected Entry: Student s English Name:,, (Family) (First) (Middle) Student s Preferred Name: Date of Birth: / / Sex: Religion: Nationality: Previous Nationality: Passport No: HKID No: Residential Address: Home Phone No: School Record (start with the most recent school or kindergarten) Name of School Contact Information Language of Instruction Grade Enrolled Date Enrolled Grade Left or Current Date left Current School: Address: Teacher Contact Name: School Contact School Contact Telephone: Previous School 1: Address: Teacher Contact Name: School Contact School Contact Telephone: Previous School 2: Address: Teacher Contact Name: School Contact School Contact Telephone: Previous School 3: Address: Teacher Contact Name: School Contact School Contact Telephone: - 2 -

3 Family and Language Father / Guardian First language (please select one language only) English Mandarin Cantonese Other Country of Birth Australia New Zealand Hong Kong Other Educational Background Please specify the highest qualification attained Secondary Tertiary Post Graduate Other Please specify where the qualification was obtained from Australia New Zealand Hong Kong Other Please specify the name of the institute Mother / Guardian First language (please select one language only) English Mandarin Cantonese Other Country of Birth Australia New Zealand Hong Kong Other Educational Background Please specify the highest qualification attained Secondary Tertiary Post Graduate Other Please specify where the qualification was obtained from Australia New Zealand Hong Kong Other Please specify the name of the institute Student First language (please select one language only) English Mandarin Cantonese Other Student s proficiency in language(s): English: None Fair Good Native Mandarin: None Fair Good Native Cantonese: None Fair Good Native Other language 1: Fair Good Native Other language 2: Fair Good Native Which language is most often spoken at home? Student lives with Father Mother Siblings Stepfather Stepmother Other Guardian Father deceased Mother deceased Parents divorced* Father remarried Mother remarried Parents separated* *If the parents are divorced or separated, document of custodial consent is required to be provided prior to offer of a place at AISHK - 3 -

4 Family and Language (Cont d) Siblings (brothers/sisters) already enrolled at AISHK? Yes No Name Year group or class Siblings enrolled at other schools? Yes No If yes, please complete the following details: Name Male/Female Age Current School Grade If yes, are you intending to enrol him/her/them? Yes No If so when? Have you ever before applied for enrolment at the Australian International School Hong Kong? Yes No Have you applied, or do you intend to apply, for enrolment at any other International or ESF schools in Hong Kong? Yes No If yes, please list: How did you know about AISHK? Through: friends website Other (please specify) Have you made contact with the Admissions regarding your child s enrolment? Yes No If yes, please specify: via Enquiry via Phone Enquiry via Walk-in Enquiry Reason for applying to AISHK: Have you attended our school tour? Yes No If no, please contact Admissions ( admissions@aishk.edu.hk or phone (852) ) to book for a school tour

5 Personal Development In order for students to reach their potential it is essential that the school be informed of your child s needs. 1. Has your child ever received Learning Support assistance? Yes No 2. Has your child ever been in a reading recovery program Yes No 3. Has your child ever repeated a year? Yes No 4. Has your child ever been accelerated (skipped a year)? Yes No 5. Has your child been in an ESL (English as a Second Language) program or had English Language Tuition? Yes No If YES to any of the above, please provide brief details: 6. If English is your child s second language, when did your child begin learning English? 7. What was the method of instruction for learning English? (e.g. at an English medium school, one-to-one tuition, group tuition) 8. Does your child have a learning difficulty or impairment? Yes No Not Sure If YES or Not Sure please indicate which type(s): Intellectual Speech/Language Vision Physical Hearing ADD/ADHD Learning Disability/Dyslexia Behavioural Autism/Aspergers Perceptual/Motor difficulties Other (please specify) 9. Has a specialist ever assessed or supported your child for developmental, learning or behavioural issues? Yes No If YES please indicate what type of assessment/support? Guidance Officer/School Counsellor Child/Educational Psychologist Occupational Therapist Speech or Language Pathologist Optometrist Audiologist Pediatrician Please give details, including the date the support commenced and whether it has ended or is ongoing? Do you have reports from the specialists? Yes (If YES please attach reports to the application) No 10. Does your child take medication on a regular basis? Yes No If YES, what type of medication does your child take and how often? 11. Does your child suffer from any serious illnesses, allergies, physical disability or trauma (including for example death of a parent, separation, adoption)? Please attach a separate sheet if needed

6 Personal Development (Cont d) 12. Please tick all that apply. My child: (a) Makes friends easily and quickly (b) Is initially shy (c) Prefers a small group of close friends (d) Seems to prefer older/younger children (e) Has difficulty in making friends 13. Please include any other relevant information, which may be of importance for the school and/or class teacher. The above information, and our discussion with your child s previous school(s), will help our staff best facilitate your child s educational development. Banking and payment information The school s bank account details are: Account Name: Australian International School Foundation Limited Account Number: (Note: the first 3 digits represent the bank number) Bank Name: The Bank of East Asia Limited Bank Address: 10 Des Voeux Road, Central, Hong Kong Swift Code: BEASHK HH If paying by telegraphic/internet transfer to our bank account please make sure that our bank account will be credited with the full application fee, i.e. any Hong Kong bank charges (usually HK$240) are to be borne by the payer. Please provide a faxed or scanned copy of the bank deposit confirmation once you have made the payment

7 Parent Information Father's/Guardian s Name (English): (Family) (First) (Middle) Employer/Business Name: Employer/Business Address: Occupation: Position held: Nationality: Previous Nationality: Business Hours Phone No: Mobile No: Work Home (This address will be used for teacher/parent correspondence unless advised otherwise) Mother's/Guardian s Name (English): (Family) (First) (Middle) Employer/Business Name: Employer/Business Address: Occupation: Position held: Nationality: Previous Nationality: Business Hours Phone No: Mobile No: Work Home (This address will be used for teacher/parent correspondence, unless advised otherwise) Correspondence/Billing Information To which address do you wish correspondence sent in the future? Residential Business Father / Guardian Business Mother / Guardian To which address do you wish billing sent in the future? Residential Business Father / Guardian Business Mother / Guardian Signature of Parent/Guardian: Name of Parent/Guardian: Date: - 7 -

8 Private and Confidential AUSTRALIAN INTERNATIONAL SCHOOL FOUNDATION LIMITED Debenture Preference Form (Please complete ONE form for each student to be enrolled) 1. Depreciating Debenture HK$100,000 (Depreciable annually) 2. Gold Debenture HK$3,000,000 (Non-refundable) Note: The values of the Debenture set out in this application form are for reference only. The Foundation reserves the right, in its absolute discretion, to vary from time to time the values of the Debentures to be issued prior to acceptance by the Foundation of your subscription for the relevant type of Debenture. You are advised to enquire with Australian International School Foundation Limited to ascertain the current values and availability of the Debentures prior to choosing. Name of Student: DOB: / / Sex: Applying for Year Group: Date of Expected Entry: 1. Applicable to Depreciating Debenture - Current Value HK$100,000* Debentures are depreciated by 12.5% of the initial principal sum at the beginning of each school year (1 January) for eights. If the student commences during a school year then depreciation will commence from the date of entry. When a debenture has depreciated to zero, all rights under the debenture terminate and the certificate should be returned to the school. The Debenture Holder will have the option to purchase a new Depreciating Debenture if available or pay the annual Capital Levy. Under certain circumstances an arrangement may be made to purchase a debenture by instalments. Please contact the Business Administrator to discuss this option. If this option is chosen, no payment is needed until a place has been offered. Please note that the name of the Registered Debenture Holder is the person or the Company who will receive the debenture funds upon withdrawal of the student nominated above. Please refer to the current School Handbook Business Procedures. Please ensure all names provided below are correct as these will appear, as recorded, on both the debenture certificate and the debenture redemption cheque. Name of Registered Debenture Holder: Address: 2 Applicable to Gold Debenture Current Value HK$3,000,000* The Gold Debenture is non-refundable and non-transferable. It will only be used for capital expenditure. If desired, there will be an acknowledgement of the gift on a professionally designed, permanent and fixed display in the lobby of the school and in the Foundation s publications. The nominated child must meet the usual entry requirements described in the Rules of Admission as laid down by AISHK Please note that the name of the Registered Debenture Holder is the person or the Company who will receive the debenture funds upon withdrawal of the student nominated above. Please refer to the current School Handbook Business Procedures. Please ensure all names provided below are correct as these will appear, as recorded, on both the debenture certificate. Name of Registered Debenture Holder: Address: Name: * Please make all cheques payable to: Australian International School Foundation Limited Signed: Date: Personal Information Collection Statement (1) It is obligatory to supply the data on this form for enrolment at the Australian International School Hong Kong. (2) The personal data provided will be used by Australian International School Foundation Limited (AISFL) for purposes related to the processing of the application for admission and enrolment to the school, and for academic and administrative purposes relating to school activities. (3) The personal data collected will be kept confidential and will only be disclosed to officers and employees of AISFL for the purpose(s) mentioned above, or to third parties where the data subject has consented to disclosure or where disclosure is permitted under the Personal Data (Privacy) Ordinance (PDO). (4) Every data subject has the right to request access to, and the correction of, personal data as provided for the PDO by writing to the Business Administrator

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