General Application for Admission

Invoer:

Student information

Child's Surname *
First name *
Preferred name *
Gender *
Date of Birth *
dd-mm-yyyy
Country of Birth *
Place of Birth *
BSN (Burgerservicenummer)
Enrollment year *
Current grade or school year *
Anticipated grade of entry *
It is school policy to place students according to age. Any exception to this may be discussed with the Head of School for the International Department. For information about how we place students according to age, please review the age equivalence reference sheet on our website to select the correct year group.
Anticipated length of stay in the Netherlands: *
Requested start date *
dd-mm-yyyy
Arrival date in the Netherlands *
dd-mm-yyyy

Nationality

Nationality(Child) *
Second nationality
Country of origin of Child *
Previous countries the child stayed (prior to the Netherlands) *
Mother Tongue of the Child (First/main language) *
Cultural background
Current Address
Street *
House Number *
Postal code/ZIP code *
City/Town *
Country *
Telephone *
Registered as Confidential? *

Local Address (if different from current address)

Street
House Number
Postal code/ZIP code
City/Town
Country
Telephone
Registered as Confidential?

Family information

Sibling

Surname *
First name *
Gender *
Date of Birth *
dd-mm-yyyy
Current grade or school year  *

Sibling

Surname
First name
Gender
Date of Birth
dd-mm-yyyy
Current grade or school year

Parent/Guardian information

1. Parent/guardian

Surname *
First name *
Relationship to student *
Gender
Nationality *
Second nationality
Cultural background
Email *
Work Telephone *
Mobile Telephone
Occupation *
Employer's Name *
Employer's Address 1 *
Employer's Address 2 *
Employer's Postal code/ZIP code *
Employer's city *
Employer's country *
Highest Education Level Completed *
Highest Qualification *
Name and Address of Institution
Please provide the name and address of the institution where the highest qualification was attained

2. Parent/guardian

Surname
First name
Relationship to student
Gender
Second nationality
Nationality
Cultural background
Email
Work Telephone
Mobile Telephone
Occupation
Employer's Name
Employer's Address 1
Employer's Address 2
Employer's Postal code/ZIP code
Employer's city
Employer's country
Highest Education Level Completed
Highest Qualification
Name and Address of Institution
Please provide the name and address of the institution where the highest qualification was attained

Other Details

If parents are divorced or separated, please indicate the legal guardian for your child and provide additional contact information below.
Please indicate the legal guardian for your child.
If you selected other, please give the name and relationship to applicant
If applicable, please provide the name of the applicant's stepmother
If applicable, please provide the name of the applicant's stepfather
House Number
Street
Postal code/ZIP code
City
Country
Telephone
E-mail

Medical information

Medical information

ALTERNATIVE CONTACT IN CASE OF EMERGENCY

Please provide the contact details for an alternative contact (NOT a parent) in case of emergency where we are unable to reach the people noted above. This could be other family, a friend or work colleague. This person should reside or work in reasonable close proximity to the school
Surname *
First name *
Relationship to Child *
Telephone *
E-mail *

Current School

Name of Current School / Daycare *
Contact Name *
Contact Email *
Telephone *
Current School Address
Postal code/ZIP code
City
Country

School History

Name of the School
Language of Instruction
Start date
(dd-mm-yyyy)
Leaving date
(dd-mm-yyyy)
Year group(s)
Permission *
Gives permission to Optimist International School to contact prior schools to retrieve necessary information about child development, educational needs and results of assessments
Do not give permission to Optimist International School to contact prior schools to retrieve necessary information about child development, educational needs and results of assessments

Learning Support

Has your child received support in any of the following areas?
English as an additional language (EAL)
Special education support
Special needs
Speech and language therapy
Behaviour and social skills
Other
If you selected other, please provide more detail
Did your child have an Individual Education Plan (IEP) at a previous school?
If you ticked any of the support options above, please provide us with further information that will assist us in working with your child.
Privacy Aspects *
Gives permission to Optimist International School to use photographs of your child in the school guide, school brochure, school calendar and other school documents
Gives permission to Optimist International School to use photographs of your child in the digital newsletters of the school
Gives permission to Optimist International School to use photographs and videos of your child on the school website
Gives permission to Optimist International School to use photographs and videos of your child on the social media accounts of the school (Facebook)
Gives permission to Optimist International School to use photographs of your child on pictures hanging in the school
We often use photographs of students undertaking school activities on the school website, on our social media, in our brochure and promotional material. By doing this we provide parents an insight in school activities.

Additional information

Anything else we should know?
Do you have any questions or concerns that you would like to share with our admissions team? Any additional information about your family or the applicant that you would like to share? Please use this field for any general questions or comments.
* Required fields