Application Form 2023

APPLICATION/REGISTRATION FORM.
If a question does not apply, please write N/A.

UPLOAD STUDENT PHOTOGRAPH*

APPLYING FOR ACADEMIC YEAR:*

GRADE LEVEL:*

First Name

Father's Name

Family Name

Gender * SelectMaleFemale

Date Of Birth*

Religion *

Nationality (1):*

Applicant's Passport or I.D. No.:*

Nationality (2):

Parental Passport or I.D. No.:

4. Applicants with foreign non-Arab nationality:

Will the student be exempted from the Egyptian Ministry exams?
SelectYesNo

5. Parental marital status:*

SelectMarriedSeparatedDivorced (if so, custody with)

(If so, custody is with):

Please attach a scanned copy of Mother's ID front and back (Egyptians)/Mother's Passport (Foreigners)*

Please attach a scanned copy of Father's ID front and back (Egyptians)/Father's Passport (Foreigners)*

Please attach a scanned copy of the Applicant's Birth Certificate*

Please attach a scanned copy of the Applicant's Passport*

Required Fields*

Father's Name:

Father's Nationality:

Father's Religion:

Required Fields*

Father's Occupation & Place of Work:

Father's Home Address:

Father's Home Telephone:

Required Fields*

Father's Business Telephone:

Father's Mobile Number:

Father's E-mail:

Required Fields*

Mother's Name:

Mother's Nationality:

Mother's Religion:

Required Fields*

Mother's Occupation & Place of Work:

Mother's Home Address:

Mother's Home Telephone:

Required Fields*

Mother's Business Telephone:

Mother's Mobile Number:

Mother's E-mail:*

Guardian's Name:

Guardian's Nationality:

Guardian's Religion:

Relationship to student if other than parents.

Guardian's Occupation & Place of Work:

Guardian's Home Address:

Guardian's Home Telephone:

Guardian's Business Telephone:

Guardian's Mobile Number:

Guardian's E-mail:

6. Will the student(s) require bus transportation?*
SelectYesNoOne WayRound Trip

(Please note that one way transportation is charged as round trip transportation fee)

7. Language most commonly spoken at home:*

8. Student's position in the family:*

(for example, only child, eldest of two, second from four,….etc)

Previous School:*

PreviousSchool(Nursery-12)(most recent first)*

Years Attended*

Grade(s)*



Curriculum Type (US-UK-Egyptian-Others)*

School Location*

PreviousSchool (Nursery-12) (most recent first)

Years Attended

Grade(s)

Curriculum Type (US-UK-Egyptian-Others)

School Location

PreviousSchool (Nursery-12) (most recent first)

Years Attended

Grade(s)



Curriculum Type (US-UK-Egyptian-Others)

School Location

PreviousSchool (Nursery-12) (most recent first)

Years Attended

Grade(s)



Curriculum Type (US-UK-Egyptian-Others)

School Location

PreviousSchool (Nursery-12) (most recent first)

Years Attended

Grade(s)



Curriculum Type (US-UK-Egyptian-Others)

School Location

Grade level:*
Selectjunior KindergartenSenior KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12

Please upload and attach your child's report cards of the last two years in order to complete the registration process.

REPORT CARDS OF THE LAST TWO YEARS.

9. Has the student ever skipped a year?*

SelectYesNo

If yes, which year and when? (Please give details) :

Details*

10. Has the student ever been asked to repeat a year?*

SelectYesNo

If yes, which year and when? (Please give details) :

Details*

11. Other children in the family:

Name :

Grade :

Age :

Current school:

Previously applied to Heritage, if not already Heritage student. Enter Yes or No

Relationship to student








Name :

Grade :

Age :

Current school:

Previously applied to Heritage, if not already Heritage student. Enter Yes or No

Relationship to student








Name :

Grade :

Age :

Current school:

Previously applied to Heritage, if not already Heritage student. Enter Yes or No

Relationship to student








Name :

Grade :

Age :

Current school:

Previously applied to Heritage, if not already Heritage student. Enter Yes or No

Relationship to student

12. In case of an emergency and the School is unable to contact the Parents/Guardian, please notify:*

Name :*

Address :*

Relationship to Student :*

Home telephone :*

Business telephone :*

Mobile number :*

Name

Grade

Age




Current School

Relationship to Student




Previously applied to Heritage, if not already Heritage student. Enter Yes or No




Name

Grade

Age




Current School

Relationship to Student




Previously applied to Heritage, if not already Heritage student. Enter Yes or No




Name

Grade

Age




Current School

Relationship to Student




Previously applied to Heritage, if not already Heritage student. Enter Yes or No

1. I hereby apply for the admission of ................................ to Heritage International School.*

Enter Student Name

All the information I have provided is true and accurate.

2. I agree:
a) That my child and I will abide by and support the School's Code of Conduct (enclosed in the
School's Application Package) and all rules & regulations (including the right of the School to
expel the student as a final consequence).
b) To promptly pay the School's tuition fees as published annually by the School Administration.
c) To promptly pay the fees required for any extra curricular activities provided by the School
according to curricula outlined by Manitoba Education with which the School is affiliated.
d) To ensure that my child wears the official school uniform.
e) To accept all decisions made by the School Directors as long as they do not violate public order.
f) That upon payment of the Registration fees, I will be required to sign and abide by the School's
detailed Terms & Conditions Consent and any other necessary forms.

Name of Parent/Guardian:*

Signature of Parent/Guardian:*

Date:*

(Please print name clearly)