Independent - Sites - Anglo-Chinese School

Anglo-Chinese School (Independent)
DIRECT SCHOOL ADMISSION INTO YEAR 5 (2013)
Affix Recent
Passport Size
INTERNATIONAL BACCALAUREATE DIPLOMA PROGRAMME (IBDP)
Photo here
APPLICATION FORM
Instructions:
• Fill in all relevant details neatly and accurately.
• For items indicated with an *, please tick the appropriate box.
• Please indicate Not Applicable (NA) for items that are inapplicable to you.
• Please attach copies of your Sec 3 and Sec 4 School Examinations results with your application.
• This application form, personal portfolio, personal statement and any other supporting documents
must be submitted to ACS (Independent) – IBDP Application, 121 Dover Road, Singapore 139650 by
6 July 2012. An admin fee of S$20 per applicant in cash or crossed cheque made payable to ACS
(Independent)) is payable upon submission.
Section 1: PERSONAL PARTICULARS
Name of
applicant:
Present School:
Date of birth: Gender: Male / Female (please circle)
*Singaporean:
*Singapore PR:
□ Yes □ No
□ Yes □ No
Citizenship (if non
Singaporean/SPR )
NRIC /FIN No:
Race:
Address:
Home tel. no:
Religion:
Handphone no:
Email address:
* GEP Student: □ Yes □ No *MEP Student: Yes
*EESIS Holder □ Yes □ No
No
*MOE ASEAN
or School-
Based scholar
Yes
No
Name of Father/
Guardian (pl circle)
Name of Mother
Address
(If different
from applicant’s)
Home Tel No. Office/HP No.
Email Address
Section 2: ACADEMIC RECORDS (PHOTOCOPIES REQUIRED)
Overall %
L1R5
Sec 3 Overall Results
PSLE Score
Sec 4 1 st Semester Results
For items 1 to 6, fill in the grade you have obtained for the best subject in each category for your Sec 4
Mid-year examination or 1 st Semester Overall results.
*Pl delete accordingly for Mid-year Exam/ Equivalent Grade (for
Subject
items 1 – 4. Specify the subject 1 st Semester Grade students not in a
for items 5 & 6.
Singapore local school)
1. 1 st Language * EL / HCL / HML / HTL
2. English Literature** * Core / Elective
3. Sciences * Physics/Chemistry/Biology
4. Mathematics * E Maths / A Maths
5. Any other subject
6. Any other subject
Computed 6 relevant subjects aggregate points
** If you are not taking English Literature, please replace this subject with a Humanities subject.

Anglo-Chinese School (Independent)
DIRECT SCHOOL ADMISSION INTO YEAR 5 (2013)
INTERNATIONAL BACCALAUREATE DIPLOMA PROGRAMME (IBDP)
PERSONAL PORTFOLIO
Name: ____________________________ Present School: ___________________________
Instruction: Please provide accurate and concise details in the table below (handwritten or
type-written is acceptable). Reference should be made to the Guidelines and Information
provided for filling in this Personal Portfolio. Please attach copies of supporting documents, if
any.
Indicate Level and Year of Participation
(International, National, School:
Individual or Group award)
For
official
use
A
Special
Academic
Awards &
Achievements
International Level
National / Interschool / Zonal Level
School Based
B
CCAs &
Performing
Arts
International Level
National / Interschool / Zonal Level

School Based
Leadership (Class Committee, Prefects, CCA)
C
Leadership &
Community
Involvement
CIP (Internal and External, state no. of hours)
Special Achievements (Eagles Award, PC Awards etc)
Special Talents
D
Others
Project Work (Please give title and Grade)
Sustained Interest/Hobbies/Pursuits not mentioned in earlier
sections

Anglo-Chinese School (Independent)
DIRECT SCHOOL ADMISSION INTO YEAR 5 (2013)
INTERNATIONAL BACCALAUREATE DIPLOMA PROGRAMME (IBDP)
PERSONAL STATEMENT
Name: ________________________________ Present School: ___________________________
This personal statement helps us get acquainted with you as a potential student in ACS (Independent). It
will show your ability to organize your thoughts and express yourself. In not more than 300 words, write an
essay on one of the following topics. You can choose to write on the written spaces provided or attach a
type-written essay to this application form. In accordance with ACS (Independent) Academic Honesty
Policy, we trust that this personal statement will be your own work.
1. Describe how you believe the IBDP will contribute to your aspirations. If you are not admitted
to the IBDP in ACS (Independent), what would be your next step in terms of academic
progression
2. Describe a project where you had to work independently or in a team. Explain how you
managed the challenges and how the experience has shaped your behaviour / perspective.

ANGLO-CHINESE SCHOOL (INDEPENDENT)
INTEGRATED PROGRAMME
GUIDELINES AND INFORMATION FOR FILLING UP PERSONAL PORTFOLIO
• Your personal portfolio is a document that lists all the activities that you have participated
in and achievements that you have gained particularly in the last 3 years. It thus should be
very comprehensive and should include all details such as the year of participation and
the award of the competition.
• Your personal portfolio should be a document that you are proud to show off. As such,
effort should be put in to produce a portfolio that is worthy of the IP selection committee’s
perusal. It should be neat and legibly written.
A
SPECIAL ACADEMIC & CREATIVITY ACHIEVEMENTS & AWARDS [30 points]
LEVEL OF
PARTICIPATION
EXAMPLES
International Level
• New South Wales Mathematics Competitions (High Distinction, 2011)
• New South Wales Science Competition (Participation, 2010)
• Mathematics Olympiad (3 rd placing, 2010)
• Commonwealth Essay Writing Competition (Gold, 2011)
National/Inter-
School/Zonal Level
• Inter-school subjects-based competitions
eg Tamil essay writing competition (2 nd placing, 2010)
• Edusave Awards (Merit, 2010)
School-Based • Academic Awards
eg Top Student in Mathematics (2010)
• Book Prizes
• Good Progress Awards*
• Subject-based competitions
B
Co-Curricular Activities [30 points]
Sports, Cultural & Performing Arts, UYOs and Clubs & Societies Activities
(and other miscellaneous school activities or competitions)
LEVEL OF
PARTICIPATION
International Level
National/Inter-
School/Zonal Level
School-Based
EXAMPLES
• SEA games competitions
o Eg SEA games competition in swimming (3 rd placing, 2010),
• OM Finals competition in US (5 th position, 2010)
• Nationals Rugby Competition (C division Champions, 2010)
• SYF Choral Competition (Silver, 2010)
• Inter-school St John’s Drill competition (Best Unit award, 2011)
• Honour’s Day Award for Water-polo (Half Colours, 2011)
• NPCC Founder’s Day Parade contingent (2010)
• Scouts’ Day Parade Contingent (2011)
• Band Public performance at Istana (2011)
• BB Camp (2011 & 2010)

C
LEADERSHIP & COMMUNITY SERVICE [30 points]
LEADERSHIP COMMUNITY SERVICE SPECIAL ACHIEVEMENTS
Class Committee
• Main Committee Members
• Sub-committee members
Assistant Prefects
JCRC Members
CCA Leadership
Sports
• Lower Sec Captain
• Other office bearers
UYOs
• Corporal or equivalent
• Other office bearers
Clubs/Special Interest Groups
• Chairman
• Office bearers
Internal CIP (School)
• 12 hours per year
External CIP [supported by
documentation]
• ≥ 50 hours
• ≥ 40 hours
• ≥ 30 hours
• ≥ 20 hours
• ≥ 10 hours
• Eagles Awards
• PC Awards
• Singa Awards
• SKM
D
Areas
OTHERS [10 points]
Provide relevant details
Special Talents
Project Title[s]:
Project Work
Grade obtained:
Sustained
Interests/Hobbies/Pu
rsuits not mentioned
in earlier sections