Since graduating I've found a career I enjoy and excel at.
Jojo Mai
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This application is for admission at EUCON International School.
Today's
Date
Grade Student is
Entering
Child's Legal
Name
Child's Present
Address
Child's
Citizenship
Child's Ethnic
Group
Child's
Gender
Child's
Birthdate
Child's Present
Age
Child's Height
(feet/inches)
Child's Weight (in
pounds)
Child's Soc. Sec.
Number
WHO
DOES CHILD LIVE WITH?
Male
Guardian
Female
Guardian
Guardian
Address
Home
Phone
Cellphone
Pager
E-Mail
Father's Employer and
Work Phone
Mother's Employer and
Work Phone
Status of Natural
Father
Status of Natural
Mother
Legal
Guardian
Emergency
Contact
Brothers and
Sisters
Previous
School
Reasons for Selecting
EUCON
Has child ever been held
back?
Check here if you can provide a copy
of your child's most recent report
card
How many days has child
been absent from school in the past 12 months? If more than 15
days, please explain.
Has child ever been
placed in special classes for learning disabilities or
handicaps, including mental, social, or emotional? If so,
please explain.
Has child ever
demonstrated any behavior problems in school? If so, please
explain.
Has child ever been
suspended or expelled from school? If so, please
explain.
CHILD'S
HEALTH HISTORY Please check below whether the
child has experienced any of the following
conditions:
Glasses
Contact
Lenses
Visual
Impairment
Hearing
Problem
Partial
Deafness
Hearing
Aid
Speech
Problem
Asthma
Diabetes
Describe any
allergies child may
have
List any
medications child may take and
why
Describe here any health
conditions not listed above
Child's
Physician
CERTIFICATION Read the agreement below and
then indicate your acceptance of these
conditions
In making application for my child it is
my desire for him or her to receive a quality education in a
highly moral atmosphere. I absolve EUCON International
School of any injury to me or my child at school or during any
school activity. I understand that my child's attendance at
EUCON is a privilege and not a right, and that if at any time
his or her conduct or cooperation with the School is not in
keeping with the school's requirements then the School
reserves the right to terminate my child's enrollment. If
I voluntarily withdraw my child from the School or if my child
is requested by the School to withdraw, I understand that my
registration fee will not be
refunded.
I have carefully read the School Handbook
including the rules and regulations, dress and hair standards,
and discipline policies. I will help and encourage my child to
cooperate with all the standards outlined there. I will
also encourage my child to be diligent in all classwork
and homework. I will cooperate with the School and do my part
to make this a rewarding and unforgettable year. With the
indication of my agreement to these conditions I certify that
the information contained in this application is
true.
