Microsoft Word - Application Form 2013_14 .doc

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1 Application Form Photo ( 照片 ) Student Information 学生信息 First Name ( 学生名 ) 学生信息 Personal Information 个人信息 Family Name ( 学生姓 ) Chinese Name ( 中文姓名 ) Nickname ( 昵称 ) Date of Birth ( 生日 ) dd mm yy Current Age ( 年龄 ) Gender ( 性别 ) Boy ( 男孩 ) Girl ( 女孩 ) Nationality ( 国籍 ) Country of Birth ( 出生国家 ) Religion ( 宗教 ) Home Tel ( 家庭电话 ) First Contact NameTel ( 第一联系人及电话 ) Home Address ( 家庭住址 ) Postal: ( 邮编 ) Student Registration Information 学生注册信息学生注册信息 Please choose the program(s) preference* for your child ( 请为孩子选择课程 ) * Please note that HoK reserves the right to place your child as we see fit, based on age, developmental status, availability of places, consideration of siblings, group dynamics, etc. Admission Information 报名信息 Toddler ( 小小班 ) German Focused Nursery ( 幼儿班 ) English Focused Nursery German Focused Middle Age ( 中班 ) English Focused Middle Age German Focused Preschool ( 学前班 ) English Focused Preschool German Elementary Year 1** ** Please note that the German Elementary German Elementary Year 2** program will be only available for school year German Elementary Year 3 ** at the Quanfa Campus German Elementary Year 4 ** 5 Mornings 3 Mornings 2 Mornings 5 Mornings School Bus Service ( 校车服务 ) Term 1 Term 2 Lunch Service ( 午餐 ) Term 1 Term 2 Start Date ( 上课日期 ) dd mm yy ( 日月年 ) Preferred Payment Term Annual Termly Preferred Campus Location Victoria Gardens Quanfa Program:To be completed by the OFFICE ( 课程 : 由办公室人员填写 )

2 Student Academic Profile 学生教育背景 Student s Academic Information 学生教育信息学生教育背景 School Name City Country From, To Years Attended Language of Instruction ( 学校名称 ) ( 城市国家 ) ( 从何时至何时 ) ( 学年 ) ( 语言 ) Curriculum ( 课程 ) Please attach to this form: ( 请随此表格一同附上 ) Previous kindergarten(s) report(s) or records, if applicable ( 如果有请提供以前幼儿园报告或相关记录 ) Recommendation letters, if applicable ( 推荐信 ) Student Language Profile 学生语言概况学生语言概况 Student s First Language ( 学生母语 ) Other Languages Spoken ( 学生其他语言 ) Father s First Language ( 父亲母语 ) Other Languages Spoken ( 父亲其他语言 ) Mother s First Language ( 母亲母语 ) Other Languages Spoken ( 母亲其他语言 ) Language(s) Spoken at Home ( 家庭语言 ) English Fluent Medium Beginner ( 英语 ) ( 流利 ) ( 中等 ) ( 初学 ) Chinese Fluent Medium Beginner Please rate your child language(s) proficiency ( 中文 ) ( 流利 ) ( 中等 ) ( 初学 ) ( 请为孩子对以下语言评估 ) German Fluent Medium Beginner ( 德文 ) ( 流利 ) ( 中等 ) ( 初学 ) Fluent Medium Beginner ( 流利 ) ( 中等 ) ( 初学 ) Student Supplementary Information 学生补充信息学生补充信息 1. Please let us know your child s special hobbies or interests below. ( 请列出您孩子的兴趣爱好 ) 2. Please provide any other information that would be useful in assisting us to help your child s transition to HoK. ( 请提供任何能帮助您孩子更快适应幼儿园生活的其它信息 ) 3. Please let us know any other information that you feel would be helpful for your child s education. ( 请列出有助于您孩子教育的任何相关信息 )

3 Information About Family Members 其他家庭成员信息 Parents Legal Guardian Information 家长法定监护人信息 Father s Name ( 父亲姓名 ) Nationality ( 国籍 ) MobileHome No. ( 手机家庭号码 ) ( 电子邮箱 ) Please fill out below information if applicable: 如果有请提供以下信息 : Occupation ( 职业 ) Employer ( 公司 ) Company Address ( 公司地址 ) Mother s Name ( 母亲姓名 ) Nationality ( 国籍 ) MobileHome No. ( 手机家庭号码 ) ( 电子邮箱 ) Occupation ( 职业 ) Employer ( 公司 ) Company Address ( 公司地址 ) Company Tel ( 公司电话 ) Company Fax ( 公司传真 ) Company Tel ( 公司电话 ) Company Fax ( 公司传真 ) 信息 ) Medical Insurance Information ( 医疗保险信息 Medical Insurance ( 医疗保险 ) Via Company ( 通过公司 ) Direct Contact ( 直接联系 ) Insurance Company Name ( 公司名称 ) Tel ( 电话 ) Address ( 地址 ) Claim or Policy No. 紧急联系方式 ) Emergency Contact Information ( 紧急联系方式 Name ( 姓名 ) Relationship ( 关系 ) Home No. ( 家庭号码 ) Mobile Phone No. ( 手机电话 ) 其他子女信息 ) Sibling Information ( 其他子女信息 Name ( 姓名 ) Age ( 年龄 ) Gender ( 性别 ) Which school are they attending? ( 所在的学校 )

4 Agreement ( 协议 ) The Parent legal Guardian signature below constitutes agreement with the following: ( 家长法定监护人对以下协议内容签字确认 ) 1. CONTRACT: The parent legal guardian agrees that this application constitutes a contract with the International Kindergarten House of Knowledge (HoK), once the signed contract has been approved by HoK and the down payment has been paid. This contract ends once a withdrawal notice is received and all accounts are settled. ( 家长法定监护人与好思之家国际幼儿园签订的入学申请具有合同效力一旦学校认通知家长录取孩子并在家长支付定金后合同开始生效, 当学校受到家长的退学通知并在家长支付清所有所欠费用后合同终止 ) 2. ATTENDENCE: The parent legal guardian agrees to the principle that the child must regularly attend the kindergarten. ( 家长法定监护人将遵守学校准则, 保证学生正常出勤 ) 3. FEES: The parent legal guardian is liable for payment of all applicable fees as stated in the current school year fee schedule, regardless of any monetary subsidies provided by their employer(s)organization(s). ( 家长法定监护人有义务按照本年度费用表上注明的费用来支付, 无论其雇主或单位能否为其孩子支付部分全部费用 ) 4. POLICIES: The parent legal guardian will abide by the kindergarten s rules, procedures and policies that have been included in the Parent Handbook and might change from time to time. ( 家长法定监护人需要遵守家长手册上有关本幼儿园的规章, 程序以及方针政策, 此手册会时常更新 ) 5. WAIVER: The parent legal guardian agrees that HoK does not accept any liability for accidents either on campus, on organized field trips, school bus service, school sponsored events, en-route tofrom or at any before or after school activity or any related school activity. To ensure that immediate steps are taken in case of an emergency, please ensure that your updated emergency contact information, medical insurance and your medical contact details are made known to the kindergarten s administration staff, and that a current Health Form has been completed and submitted to the office. ( 家长法定监护人认可本幼儿园在以下情况时不承担任何责任 : 孩子在校期间, 在校车内, 参加学校组织的校内校外活动, 或其它课外活动发生意外事故为了及时应对紧急事故, 请家长及时通知学校的行政人员更新孩子紧急情况联系信息, 医疗保险和医疗信息 ) 6. INSURANCE: The parent legal guardian affirms that the parent legal guardian is responsible to ensure that the child is covered with current and comprehensive health and emergency insurance during school time. ( 家长及法定监护人同意在校期间家长有责任为孩子办理最新的, 全面的医疗保险和意外保险 ) 7. LEGAL: This agreement is subject to Chinese law. Place of jurisdiction is Beijing, China. ( 本协议适用于中华人民共和国法律专属管辖地属于中国北京 ) I agree that my child s name and parents contact numbers and s can be published in the school directory. ( 我同意我的孩子的姓名及家庭联系方式及父母系方式及父母邮件地址在学校的通件地址在学校的通讯录讯录中登出 ) Mother s details Father s details all phone all phone Parent Guardian Signature ( 家长监护人签字 ) Date ( 日期 ) Admissions Officer Signature ( 校方负责人签字 ) Date ( 日期 )

5 Dear Parents: 亲爱的家长 : Release Form for Use of Student NamePicture on HoK School Web Page, Class Projects and Marketing Materials 声明同意在 HoK 学校网站和教学项目及广告材料上使用学生姓名和照片 By signing below, you agree to and understand that pictures of your child or work created by your child may be used for HoK marketing or educational purposes. Possible uses include, but are not limited to: Given as samples or used to demonstrate projectsactivities in educational workshops, classes, andor conferences 用作于教学活动 ; 课程及会议中的演示活动 Posted in school materials or on the school webpage HoK 或学校的网站上展示作品 Videotaped to record student presentations of projects, or in broadcasts or videotapes of school related events and purposes 选用部分在项目过程中录制的影音资料在电脑媒体上演示 HoK promotional materials andor advertisements I give permission for pictures of my child and hisher work to be used for the above purposes I do not give permission for pictures of my child and hisher work to be used for the above purposes, but understand and approve that hisher photograph may still appear in the school s Parent Letters and HoK Newsletters Student Name 学生姓名 : HoK Campus HoK 校区 : ParentGuardian Name 家长监护人姓名 : ParentGuardian Signature 家长监护人签字 : Date 日期 :

6 Acknowledgement of Photo Restrictions and Privacy Iwe parent(s) of legal guardian(s) of, hereby acknowledge that the passing on of picture material or electronically transferred picture data to third persons is not permitted. Iwe understand that any reproduction, publication or storage onto databases, as well as any form of commercial use or distribution, is also not permitted. Student Name 学生姓名 : HoK Campus HoK 校区 : ParentGuardian Name 家长监护人姓名 : ParentGuardian Signature 家长监护人签字 : Date 日期 :

모집요강(중문)[2013후기외국인]04.26.hwp

모집요강(중문)[2013후기외국인]04.26.hwp 2013 弘益大学后期外国人特别招生简章弘益大学 http://ibsi.hongik.ac.kr 目次 I 招生日程 3 II 招生单位 4 III 报名资格及提交材料 5 IV 录取方法 8 V 报名程序 9 VI 注册指南 11 VII 其它 12 附录提交材料表格外国人入学申请