APPLICATION FORM BOARDER PREP-IB AND IB

Transcription

1 ABOUT THE STUDENT This is an application for boarding students starting Prep-IB IB with start in August Full name: Postal code and city: County: Country: Please indicate the student s official adress. has a passport does not have a passport but is an EU citizen other: GUARDIAN (MOTHER/FATHER) CO-GUARDIAN (MOTHER/FATHER) We use your adresses to give you access to the school s parent intra. If you change your , please let us know. If the billing adress is not the same as the guardian s, please fill in the information on page 5. Name of custodial parent: At the annual elections for our Parent Representative Council only custodial parents have the right to vote. If one parent has sole custody, please enter his or her name above. APPLICATION FORM FOR PREP-IB AND IB PAGE 1 OF 5

2 MOTIVATION FOR APPLYING A short statement explaining why the applicant is applying to Herlufsholm: PREVIOUS SCHOOLING Year and grade level Name of school Language of instruction STUDENTS APPLYING TO PREP-IB If applying for Prep-IB, please select one of the following in each section: Section A: IGCSE Physical Education Physical Education (no exam) Section B: Physics Chemistry Biology Section C: French advanced German advanced Art The students best spoken language: Other: Please note that the school may choose to offer combined science in section B and also restrict the choices in section C. STUDENTS APPLYING FOR IB If applying for IB, please indicate your preliminary interest by selecting one of the following six colums: Mark your selection Group Studies in language and literature Language acquisition Social sciences Psychology Economics History History Psychology Economics Sciences Physics Chemistry Biology Chemistry Biology Physics Mathematics Elective subjects Biology Physics Chemistry Economics History Psychology APPLICATION FORM FOR PREP-IB AND IB PAGE 2 OF 5

3 THE STUDENT S WEEKEND ADRESS The school will register the student as staying with the guardian in weekends. If the student has a different residence or contact address in weekends, please fill in below. INSURANCE It is the guardian s responsibility to make sure that the student has sufficient insurance coverage, especially in regards to travel, liability, accident, and personal property. It is possible to sign for a youth insurance with one of the school s insurance companies. Learn more about or be advised as to insurance matters at Direktionskontoret, phone BILLING INFORMATION If the billing address is not identical with the guardian s, please fill in the correct billing address below. Billing statements will be sent to this address quarterly. We recommend using PBS ( electronic payment service): Bank name: Bank address: Name on account: CPR. no.: Bank ID no.: Account no.: Date: Signature: APPLICATION FORM FOR PREP-IB AND IB PAGE 3 OF 5

4 POSTAL ADDRESS If you wish school malings to be sent to a different address than the guardian s, please fill in below: Name(s): Sometimes postal services may be unreliable or slow. The school offer to sent information by instead of regular mail. Do you wish to receive school mail electronically: Yes No ADDITIONAL INFORMATION Please enclose or attach the following information: Tick the box Type of attached/enclosed information Copy of birth certificate Copy of passport Copy of most recent report card Health report A photo of the applicant The applicant must have a passport or residence permit in order to attend school in Denmark. If the student is not a citizen, please provide a copy of the residence permit before the beginning of the school year. Upon receiving your application, we will schedule an interview and an admissions test in Math and. SIGNATURES Deadline for application: April 1st for the academic year beginning in August the same year. However, applicants may be admitted for as long as capacity allows. The application is not valid without the guardian s/guardians signature(s). Date: Date: Signature: Signature: In signing the application you confirm that you accept the rules and conditions found in the current edition of the School Handbook - this may always be found on the school s homepage. You also agree that the school has the right to charge a late fee of DKK 100,- for each reminder of overdue payment. In addition, 1% interest is added to overdue payments each month. APPLICATION FORM FOR PREP-IB AND IB PAGE 4 OF 5

5 HEALTH REPORT The health report is kept in the school infirmary. You are welcome to meet with the school nurse and elaborate on the information below when you arrive. Name of student: Grade level in Aug. 20 : If you live in Denmark: National health group: Own doctor: Name of guardian: Vaccinations - please state year of vaccine: Di-Te-Ki-Pol (diphtheria, tetanus, whooping cough, and polio) Pneumokok (meningitis, pneumonia) Di-Te-Ki-Pol revaccine HPV (cervical cancer, genital warts, etc.) MFR (measles, mumps, and german measles) Other vaccinations: In case of previous serious medical conditions, please state the types, hospitalisations, operations, and treatments: Allergies: Does the student take any medication? Please state name/dosis: Concerns regarding food, physical activity, etc.: Please note, that the school s diet does not include vegetarians. Other health issues the school should know about: APPLICATION FORM FOR PREP-IB AND IB PAGE 5 OF 5