Application for Student Enrollment

 THE AMERICAN INTERNATIONAL SCHOOL IN EGYPT

STUDENT DATA
Last Name		First Name
Date of Birth (D/M/Y)		Place of Birth
Citizenship		Birth Certificate #  (for Egyptians)
Sex	Male                 Female
Religion		Passport Number

PARENT DATA	Father	Mother
Name
Citizenship
Home Address
Home Phone
Mobile Phone
Email Address
Occupation
Company Name
Type of Business
Business Phone
Fax

BROTHERS' AND SISTERS' DATA
	Name	Current School	Age	Grade	Apply to AIS?
1
2
3
4

EMERGENCY CONTACTS (2 PERSONS OTHER THAN PARENTS)

Name

Relationship

Home Phone

Mobile Phone

Address

SCHOOL DATA
Previous Schools (N-12) (most recent first)	Years Attended	Grade(s)	Language of Instruction	School Location

APPLYING FOR:	Grade	School Year	Month to start school
OTHER INFORMATION:
Reason for transfer:
Student's first language(mother tongue):
Languages spoken at home:
Has the applicant ever skipped/repeated a grade?        If yes, which grade?          Comments:
Has the applicant ever applied to AIS before?              If yes, when?
Has the applicant ever received instruction for ESL (English as Second Language)?
Has the applicant ever received services for learning difficulties?
Are there any special medical conditions / allergies?
Any other information?
How did you first learn about AIS Egypt?

FINANCIAL INFORMATION

Fee will be paid by:        Parent             Guardian               Organization/Embassy            Other

The above information is accurate and correct to the best of my knowledge.

Failure to provide accurate information and academic reports may result in withdrawal of enrollment offers.

Parent/Guardian Signature:

Date:

Application may be submitted in person, by mail, by email to registrar@aisegypt.com, or by fax to: +20-2-617-4002

FOR THE OFFICE USE ONLY
ACCEPTANCE
YES	NO	Grade		Academic Year
Superintendent’s Comments and/or conditions
Superintendent’s Signature			Date
Parent/Guardian Signature			Date