小学生入学申请书范本

小学生入学申请书范本

studentname:________________________中文姓名:_______________

grade年级:_______sex性别:_____phone电话:__________________

dateofbirth出生日期:____/____/________(月/日/年)age年龄:_____

placeofbirth出生地:____________________________

address住址:__________________________________________________________

mother'sname母亲姓名:_____________________________occupation职业:_________________

workphone公司电话:_____________________homephone住家电话:_________________

address住址:________________________________________________________________________

father'sname父亲姓名:______________________________occupation职业:_________________

workphone公司电话:_____________________homephone住家电话:_________________

address住址:________________________________________________________________________

childliveswith学童和谁住在一起:1)mother母____2)father父____3)guardian监护人____(pleasestateguardian'sname,relationshiptochildandreasonchildhasaguardian.请注明监护人之姓名,与学童之关系及需要监护人之理由.)

dothegrandparentsliveinthefamilyhomewiththechild祖父母是否与学童住在一起_______

numberofbrothers兄弟人数______ages年龄______________

numberofsisters姊妹人数______ages年龄______________

howmanysiblingsdoesthechildlivetogetherwith与学童住在一起之兄弟姊妹有多少位_______

religiousfaithofparents父母之宗教信仰:______________________

doeschildembracethatfaith学童是否也信仰该宗教___________

aretheprinciplesofreligiondiscussedinthedailylifeofthefamily是否要求学童遵循该教之教义_____

hasthechildhadanybuddhistinstruction学童有否受过任何佛学教育__________________

ifso,underwhom从谁受教____________________________

doesthefamily(includingchild)attendreligiousservices学童与家人参加宗教仪式有多频繁

daily每天weekly每周occasionally偶而infrequently很少_______

educationhistory就学经历

doeschildspeakenglishfluently学童能否说流利的英语______

otherlanguages其他语言_______________________________________________________

speciallearninggifts学习特长:___________________________________________________

learningdisabilities学习障碍:____________________________________________________

specialeducationprogramsparticipatedin参与过之特殊教育:__________________________

previousschoolsattended曾就读过之学校

school

校名

address

校址

datesattended

就读日期

reasonforleaving/transfer

离校或转学理由

cumulativerecordcurrentlyatwhichschool目前就读之学校

school校名

address校址

phone电话

iherebycertifythatalltheinformationprovidedaboveistrue,andallquestionshavebeenansweredaccurately,completelyandtothebestofmyknowledgeandability.irealizethatfailuretodosocanbegroundsfornon-acceptanceand/orimmediatedismissal.

兹保证以上所填资料均属实;如有任何隐瞒不实,将遭到不得入学或勒令退学之处分.

signaturesofalllegalguardiansarerequired.所有法定监护人均须签名.

parentsignaturex____________________________________date日期__________

父母签名x____________________________________date日期__________

references推荐人

pleaseincludebelowthenames,addresses,andphonenumbersoftworeferences,oneofwhichmustbethechild'smostrecentteacher.二位推荐人中,至少须包括一位学童之现任教师.

name姓名

address住址

phone电话

ifthechildhasanylearningdisabilities,handicaps(physical,mental,oremotional),orstrongpersonalitytraits,pleaseelaborate(useseparatesheetifnecessary.)请详述学童之学习障碍及特殊个性(可另纸说明).

includeonaseparatesheet,ahand-writtenessaybythestudentastowhyhe/shewantstoattendourschool.pleaseencouragethechildtobefrankandstraightforwardandtoexpresshis/hertruefeelingsandaspirationsintheownsentimentsandwords.(approximatelengthwillvaryfrom100to500word