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Page 1 of 2 RAINBOW INTERNATIONAL SCHOOL – seoul Student application form Seocho-gu Yangjae-1-dong 2-32 / Seoul - South Korea Tel :( +82) 02 571 2917-8, Fax: (+82) 02 571 2186 www.rischool.co Date of Application: Date of Enrollment: (mm/dd/yyyy) (mm/dd/yyyy) Entering Grade Nationality (Grade1-8) Please enter all if multiple STUDENT INFORMATION Name(as written on passport): ________________________________________________________________ Family Name First Second ___________/__________/__________ Date of Birth: Month Day Year Age:_______ Place of Birth: ______________/______________/_____________________________________ City State Country Gender : Male / Female Attach Photo Passport No:____________ Date of Expiration:____/____/___ Residence Card No:_______________ Date of Expiration:__/___/___ Home Address:__________________________________________________________ Home Phone:____________________ Fax:___________________________________ Emergency contact: __________________ __________________ __________________ Name Relationship Phone Number Eligibility to attend Foreign Citizenship Foreign Parent(s) Foreign PR Visa Years Overseas 3 foreign school GUARDIAN INFORMATION Father’s Name: ________________________________________________________ Nationality: _____________________ ______________________ Passport Number: Occupation:_____________________ Place of Employment:____________________ Work Address: _________________________________________________________ Work Phone: ____________ Fax:_______________ Mobile Phone: _______________ Email Address:__________________________ Mother’s Name: ________________________________________________________ Nationality: ____________________ Passport Number: __________________ Occupation: ____________________ Place of Employment:________________ Work Address:_________________________________________________________ Work Phone:____________ Fax: _______________ Mobile Phone:________________ Email Address:__________________________ Marital Status of Parents: together separated single Parent Page 2 of 2 Siblings : ( Name, Sex, Age) Names and relationships of people having permission 1) to take the student from the school 2) 1) 3) 2) 4) 3) 5) 4) First Language: Language Spoken at Home: Student Fluent English Speaker Limited English Speaker Non-English Speaker Father Fluent English Speaker Limited English Speaker Non-English Speaker Mother Fluent English Speaker Limited English Speaker Non-English Speaker Schools Attended. (Beginning with the most recent one.) Name of school City/Country Attended (from ~ to) mm/yyyy Language Grade Personal Information Please describe your child’s character and points that need attention. Please list your child’s hobbies, interests and talents. What are your objectives in sending your child to Rainbow International School? What kind of person do you want your child to be in the future? Does your child have any disabilities (learning or physical)? Please describe any other information you would like to give us about your child.
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