Name:* |
|
Name:* |
|
Nationality:* |
|
Nationality:* |
|
Occupation of Father: *
|
|
Occupation of Mother :* |
|
Current Employer : * |
|
Current Employer : * |
|
Business Phone: |
|
Business Phone: |
|
Home Phone:
|
|
Home Phone:
|
|
Mobile Number:* |
|
Mobile Number:* |
|
Email Address:* |
|
Email Address:* |
|
SMS Number: * (05XXXXXXXX)
|
|
Current
School
|
School Name*
|
|
Has your child ever been referred for and/or received psychological,
educational or cognitive testing  ?* |
|
Location |
|
Share details (if applicable) |
|
No.Of.Years Attended |
|
Has your child been diagnosed with a specific learning difficulty? |
|
Current Grade |
|
Share details (if applicable) |
|
Previous School
|
School Name |
|
Has your child received ELL support (English Language Support) Has your child received ELL support (English Language Support) ?
|
|
Location |
|
Share details (if applicable)
|
|
Have you ever Repeated A Grade? |
|
If yes which grade?
|
|
Rate your child's English level (for their age) |
|
Rate your child's Arabic level (for their age) |
|
Primary Language spoken at home |
|
Other Language Spoken at Home |
|
Does your child have any serious allergies? |
|
Does your child have any medical conditions that we should be aware of? |
|
|
|
Details (if applicable) |
|
My child has strength in extra-curricular areas (Please specify, when appropriate) |
|
Specify |
|
My child experiences difficulty in getting along with |
Adults
|
Other students |
|
Siblings applying to Maplewood Canadian International School
|
Name: |
|
Class: |
|
Name: |
|
Class: |
|
Name: |
|
Class: |
|
|
|
|