Shenzhen American International School
 
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* Complete this form carefully,legibly,and in English.
Personal Information
First Name * Preferred/Nickname
Family(Last name) *  
Current School
Current Grade Grade for which you are applying
Home Address:Street/P.O.Box
City
State/Province
Country *
Zip/Postal Code
Home Telephone Number * Fax Number
Cell Phone (Include country, city and area codes on all numbers)
Email
Male Female *
Age *
Date of Birth(Year/Mo/Day) 　 *
Country of Birth *
City of Birth
Country of Citizenship Passport Number
Month/Year of Proposed Entrance
 
Family Information
1.
Parent/Guardian Name
Business Address: Street/P.O.Box
City
State/Province
Country
Zip/Postal Code
Home Telephone Number Fax Number
(Include country, city and area codes on all numbers)
Occupation Name of Company
Business Address: Street/P.O.Box
City
State/Province
Country
Zip/Postal Code
Business Telephone Number Fax Number
E-mail Address
2.
Parent/Guardian Name
Business Address: Street/P.O.Box
City
State/Province
Country
Zip/Postal Code
Home Telephone Number Fax Number
Occupation Name of Company
Business Address: Street/P.O.Box
City
State/Province
Country
Zip/Postal Code
Business Telephone Number Fax Number
E-mail Address
 
With whom does the applicant live? Mother Father Both Other (please provide name)
Where should bills be sent? Mother Father Both Other (please provide name)
If parents are divorced or separated, who has legal custody of the applicant? Mother Father
List any admission tests you have taken
Language spoken at home
Information about brothers and sisters (use additional sheets if necessary)
  Name
Age
School
  Name
Age
School
1. 4.
2. 5.
3. 6.
   
Current School
Independent Private/parochial Public
Dates of Attendance
School Address: Street/P.O.Box
City
State/Province
Country
Zip/Postal Code
Principal/Headmaster/Counselor Telephone Number (Include country, city and area codes on all numbers)
Principal/Headmaster/Counselor Fax Number (Include country, city and area codes on all numbers)
Principal/Headmaster/Counselor E-mail Address
Does your child have any learning difficulties? Any physical disability?
How do you hear about SAIS?
 
This section is for statistical information
Shenzhen American International School seeks students from all backgrounds
We appreciate your response
 
With which ethnic group(s) do you identify?
African American American Indian (Tribe) Asian Latino European American/Caucasian Other/Specify
 
Student's Signature *
Parent or Guardian's Signature Date 2010.07.31 03:59