Student Enrolment Form

info@jogjacommunityschool.org +62 811 257 6164

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Enrolment Form

STUDENT ENROLMENT FORM

STUDENT INFORMATION

Full Name

Planned date of entry

Age

Address

Nationality

Languages spoken

Referred by

PARENT / GUARDIAN INFORMATION

Parent / Guardian 1

Name

Address (if different to above)

Nationality

In residence with child?

Yes No Sometimes

Mobile Phone

Add

SIBLINGS ENROLLED AT JCS

Name

Age

Gender

Female

Male

Add

EMERGENCY CONTACT DETAILS

Please give details of persons to be contacted in case of emergency, if parents are not available

Name of Emergency Contact

Direct line / Mobile Phone

Add

ACADEMIC HISTORY OF STUDENT

Please provide details of schools attended prior to JCS

Name of School, City/Town, Country

Attended From

Year Level/Grade

Language

Add

ADDITIONAL STUDENT INFORMATION

Is there any area that you think your child may need extra support?

Yes

Please provide details:

Has your child ever received any special academic, social or emotional support (i.e. speech, language, psychological?)

Yes

Please provide details:

Has your child ever been asked to leave a school?

Yes

Please provide details:

Has your child ever been in an English as a Second Language (ESL) or English as an Additional Language (EAL) Programme?

Yes

Please provide details:

Is this the first time your child has lived outside of his/her home country?

Yes

In your child’s previous school, what area(s) did your child excel in and what extra-curricular activities were they involved in?

Online Trial/Registration Form
JCS Student Health Record
Combined Permission Form

Jogjakarta Community School (JCS)
Jl Watugede, Mudal, Sariharjo, Ngaglik, Sleman, Yogyakarta, Indonesia 55581.
info@jogjacommunityschool.org
+62 811 257 6164