温州市籀园小学国际班入学申请表.doc

温州市籀园小学国际班入学申请表 Wenzhou Zhouyuan Primary School——The International Class Application Form 申请编号Application No.： 所有文件请用中文或英文填写：（请如实并完整填写申请表） Please submit all documents in either English or Chinese-Use only one language :(Please fill in the entire form strictly according to the facts.) 申请人个人信息 personal information of the applicant 学生姓名（按照护照） Student Name(as on passport)： 性别Gender： □男孩Boy □女孩Girl 中文姓名Chinese Name： 英文姓名English Name： 身份证（或护照）号码 ID (or passport) Number.： 出生时间（年/月/日） Date of Birth(date/month/year)： □中国大陆学生 户籍地址Address on the household register： Chinese mainland students □非中国大陆学生 国籍：Nationality Chinese Non-mainland students 居住地址Residential Address： 居住地邮编Postcode： 居住地家庭电话Home Telephone number： 申请人使用的主要语言（请按申请人实际使用不同语言的熟练程度排序）： Languages spoken by the applicant(Please rank these languages in order as to how well the applicant actually speaks): 申请人掌握中文的程度？ Chinese proficiency of the applicant □熟练(fluent) □一般 (intermediate) □生疏 (beginner) 申请人掌握外语的程度？ Foreign language proficiency of the applicant □熟练(fluent) □一般 (intermediate) □生疏 (beginner) 申请人教育信息 educational information of the applicant 申请人现就读学前机构的名称？ What’s the name of the preschool which the applicant goes to at present? 申请人有食物过敏或其他健康状况需要学校特殊照顾吗？ Does the applicant have any allergies or medical conditions which need school special care? □是Yes □否No 如果有，请给我们更多详情If yes, please provide us with further details： 申请人是否有某些特别技能或爱好，曾参加过什么活动或获过哪些奖项？ Does the applicant have any special talents or hobbies? What kinds of activities has the applicant taken part in? What kind of prizes has the applicant won? 申请人家庭信息Family Information 父亲/监护人Father/Guardian 母亲/监护人Mother/Guardian 其他监护人 Other Guardian(s) 姓名Name 办公室电话 Office Telephone number 手机号码 Mobile phone number 传真Fax 电子邮件Email 第一语言 Native Language(s) 第二语言 Second Language(s) 工作单位/岗位 Company/occupation 最高学历 Highest E