Student Application Form

Application for

Proposed date of attendance for selection
See the selection dates here

Surname

First Name

Date of Birth

Sex:

Nationality:

Proposed Date of Entry

Into Grade/ Form

Present School

Head Teacher

Address

Telephone

School/Place of Learning	Years Attended	Boarding	Grades / Forms

(Please note the previous two school reports will need to be brought to the Selection Day. For Sixth Form applications please note the Grade 12, O’Level, IGCSE or GCSE results or mock and predicted results must be submitted.)

Does your child have any sporting interests, and if so, please comment on which sports they play, the teams they have played for, and any notable sporting achievements

Does your child play any musical instrument and at what level?

Does he/ she belong to a choir?

Additional achievements. Please comment on any particular strengths or abilities your child has?

Does your child have any medical or educational problems which may affect participation in a boarding school?

If Yes Please give details.

Parents' Details:

Please fill in both columns, only if different.

Father's Name:		Mother's Name:
Father's Home Address:		Mother's Home Address:
Father's Tel no:		Mother's Tel no:
Father's Home Email:		Mother's Home Email:
Father's Cell:		Mother's Cell:

Father's Occupation:		Mother's Occupation:
Employer:		Employer:
Cell no:		Cell no:
Work tel:		Work tel:
Work Email:		Work Email:

Who would undertake to pay the school fees

Religious or church affiliation

Former Students

Student Application Form