Canadian International School of Hong Kong, proud hosts of the ...

Student Registration FormSection A: Family InformationMother’s Mobile:___________________________Father’s Mobile:____________________________________Mother’s Email:____________________________________________________________________________Father’s Email:_____________________________________________________________________________Section B: Student InformationFamily Name:______________________________First Name:_______________________________________School:___________________________________ School Grade Level (e.g. Grade 11 or 12)_______________Date of Birth:______________________________Age:_______________________ M /FSection C: Course InformationONE REGISTRATION PER STUDENTEnglish language proficiency: Applicants MUST have a high proficiency in understanding,writing and speaking English.Strong Foundation: Applicants are expected to have a strong foundation and a genuinepassion of their chosen subject. They will need to display an interest in applying theiraccumulated knowledge throughout their course.Personal Statement: Applicants for university lecturer activities are required to submit apersonal statement of at least 500 words about why they are applying, why you are selecting thespecific course and how you feel you can contribute to the programme. The personal statementalso needs to include your full name, mailing address and email address in the top right handcorner.REGISTRATION DEADLINE 20th MAYregistration received after this date incur a $1000 administration chargeCourse Name Course Code Dates Time Venue Course Fee___________________ _____________ 5th-9th August 9am-12:30pm CDNIS_ _____________AMOUNT (A): $____________Section D: Bus InformationBus Route Bus Code Drop Off Time/Venue Pick Up Time/Venue Course Fee_________________ ___________ _________________ _________________ _____________AMOUNT (B): $____________TOTAL AMOUNT (A+B): $___________Section E: PaymentPlease complete and sign this form, attach a cheque payable to ‘CDNIS’ for the appropriate amount and sealin an envelope. Completed applications may be delivered to the 9/F School Office attention to “The ActivitiesDepartment” or post to “Activities Department c/o The Canadian International School of Hong Kong, 36 NamLong Shan Road, Aberdeen”. We ask parents to write your child’s name and student number on the reverseside of the cheque.Section F: Parental ConsentIn enrolling my child(ren) in CDNIS courses, I agree that my child and I will abide by the rules and regulationsset out by the School. I will not hold CDNIS responsible for any injury to my child(ren) or damages or loss tomy property as a result of participation in these courses.Parent’s Name:____________________________________________________________________________Signature:__________________________________________________________ Date:_________________Cheque Number:___________________________Cheque Amount:___________________________________