Child's First Name*

Child's Last Name*

Date of birth*

Nationality*
AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCote d`IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedoniaMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSo Tom and PrncipeSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin IslandsVirgin Islands (British)Wallis and FutunaYemenZambiaZimbabwe

Child Gender*
—Please choose an option—MaleFemaleOther

Religion*
—Please choose an option—ChristianMuslimOther

Joining Year*
—Please choose an option—2008-092009-102010-112011-122012-132013-142014-152015-162016-172017-182018-192019-202020-212021-222022-232023-242024-252025-262026-272027-282028-292029-302030-312031-322032-332033-34

Grade*
—Please choose an option—Pre-KGKG 1KG 2Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12

First Language*
—Please choose an option—ArabicEnglishOther

Is your child a native Arabic speaker?*
—Please choose an option—YesNo

Previous School or Nursery*

Number of years studied in an English speaking school*

Primary Language Spoken at Home*

Learning Difficulty Disclosure*
Please indicate if your child has ever been diagnosed with or received additional support for the following: Dyslexia, Dyscalculia, Dyspraxia, Learning Difficulties, Language/Speech Delay, ADD/ADHD, Autism, Emotional or Behavioural difficulties. Please select NO if this is not applicable. Please confirm if your child has ever been diagnosed with any of the following:
—Please choose an option—ADD / ADHDAutismDyscalculiaDyslexiaDyspraxiaEmotional or Behavioural DifficultiesSpeech DelayNoneOther

Please add further detail or additional diagnoses, below.*

Has your child ever had one to one support from a Shadow Teacher, Personal Learning Support Assistant or Inclusion Team?*
—Please choose an option—YesNo

Has your child ever had an Individual Education Plan (IEP) or Student Passport ?*
—Please choose an option—YesNo

Has your child ever had speech and language therapy or occupational therapy? *
—Please choose an option—YesNo

Please note:
must disclose any factor which may affect your child’s ability to cope independently within the mainstream school environment. If your child has learning difficulties and has an IEP, this must be presented as part of the application. Failure to disclose any learning difficulties or medical conditions at the time of application may result subsequently in a place being withdrawn. Any offer made by the school is subject to being able to meet the individual needs of the child.

Has your child ever been suspended from school or been expelled? If yes please give details.*

Is your child currently taking any medication? If yes please give details.*

Does your child have any allergies or food intolerance? If yes please give intolerance.*