Application Form - Crofton House School

#Office Use OnlyEnrolment Application for: September 20 ______ Grade: ______Student InformationLast NameMiddle NameDate of Birth (MM/DD/YYYY)Country of CitizenshipLanguage of Instruction at SchoolFirst NamePreferred NameCountry of BirthStudent’s First LanguagePrincipal Language Spoken at HomeAdditional Student InformationPlease indicate how you came to know about Crofton House School.Word of Mouth Sibling Connection Live in AreaAlumnae Connection Reputation Other: _______________________________________________Advertisment Website Referred by: __________________________________________Please indicate any previous enrolments at Crofton House School.Year(s): ________ Grade(s): ________Please indicate any previous applications to Crofton House School.Year(s): ________ Grade(s): ________Please attach a current photo of the applicant to the right.School Presently AttendingPresent SchoolPresent Grade LevelSpecialized Program (eg. Gifted, IEP)Street AddressCity Province Postal CodeCountry Telephone FaxFormer SchoolsSchool NameSchool NameDates Attended (mm/yyyy to mm/yyyy)Dates Attended (mm/yyyy to mm/yyyy)