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Application Form
PARENT APPLICATION FORM
Expected Start Date:
Applicant's/Student's Name:
*
Date of Birth (Day/Month/Year):
*
Sex (M/F):
Male
Female
Place of Origin (City, Country):
Citizenship (Country):
United States
Canada
Albania
Afghanistan
Andorra
Angola
Armenia
Australia
Antigua and Barbuda
Argentina
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma/Myanmar
Burundi
Cambodia
Cameroon
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Ivory Coast
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yugoslavia
Zambia
Home Language:
Other Languages Spoken:
CONTACT INFORMATION
Parent/Guardian #1
Name:
*
Relationship:
Address:
*
Home Phone:
Home Fax:
Email:
*
Occupation:
Employer/Company Name:
Office Phone:
Office Fax:
Office Email:
Parent/Guardian #2
Name:
Relationship:
Address:
Home Phone:
Home Fax:
Email:
Occupation:
Employer/Company Name:
Office Phone:
Office Fax:
Office Email:
OTHER RELATIVES LIVING IN NORTH AMERICA
(International students only)
Name:
Relationship:
Address:
STUDENT'S EDUCATION
Current School Information
Current School:
Dates Attended:
Address:
Last Grade achieved:
Program (Regular, Advanced, Modified, etc.):
Principal's Name:
Office Phone:
Fax:
Email:
Previous School Information
Previous School:
Dates Attended:
Address:
Last Grade Achieved:
Program (Regular, Advanced, Modified, etc.):
Principal's Name:
Office Phone:
Fax:
Email:
FURTHER INFORMATION
In order to provide the necessary support for each student, it is best that the school have a complete understanding of the student's educational needs. Is there any other information that about your child that you feel the school should know to enable us to best help your child integrate well into the boarding school environment? (ie. social, medical, dyslexia, A.D.D./A.D.H.D. etc.)
Why are you considering a change in your child's school?
What are your expectations for your child at Praxis International Institute?
QUESTIONS FOR THE STUDENTS
What academic subjects interest you the most? Please explain why.
What academic subjects interest you the least? Why?
Please describe your other interests, extracurricular activities, and achievements.
(Music, Drama, Dance, Sports, Art, Hobbies, Community, etc.)
What are you hoping to gain from Praxis International Institute? What are your goals and aspirations?
What do you think are your strengths and weaknesses? What do you hope to be doing in 10 years?
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