PHOTO REGISTRATION FORM Date of Enrollment

Transkript

PHOTO REGISTRATION FORM Date of Enrollment
PHOTO
REGISTRATION FORM
BAŞVURU FORMU
Date of Enrollment (Kayıt tarihi): _____________
STUDENT INFORMATION
Student’s Last Name (Öğrencinin Soyadı):
_____________________________________
Student’s First Name ( Öğrencinin Adı):
_____________________________________
Date of Birth (Doğum Tarihi): _________________________________________________
Place of Birth (Doğum Yeri): _________________________________________________
Gender (Cinsiyeti):
_______________________________________________________
Home Phone (Ev Telefounu):
_________________________________________________
FAMILY INFORMATION (Aile Bilgileri)
Mother’s Name(Anne Adı):
_____________________________________
Father’s Name(Baba Adı):
_____________________________________
Date of Birth (Doğum Tarihi):
Date of Birth (Doğum Tarihi):
_____________________________________
_____________________________________
Occupation(Mesleği):
Occupation(Mesleği):
_____________________________________
_____________________________________
Work Address (İş Adresi):
Work Address (İş Adresi):
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Work Phone(İş Telefonu):
Work Phone(İş Telefonu):
_________________________
_________________________
Home Address(Ev Adresi):
_____________________________________
Home Address(Ev Adresi):
_____________________________________
_____________________________________
_____________________________________
Home Phone( Ev Telefonu):
_______________________
Cell Phone (Cep Telefonu):
_______________________
E-mail address (e-mail adresi):
_______________________
Home Phone( Ev Telefonu):
_______________________
Cell Phone (Cep Telefonu):
_______________________
E-mail address (e-mail adresi):
_______________________
Marital Status(Medeni Durumu): Married(Evli) Separated(Ayrılmış) Divorced (Boşanmış)
Legal Guardian(Yasal Velisi):
Mother (Anne)
 Father(Baba)

Other (Diğer) _______________________
*If other please give details (Eğer Yasal Veli başkası ise):
Guardian’s Home Phone(Veli’nin Ev telefonu): ( ) _______________________
Cell Phone (Cep Telefonu) : (
) _______________________
SIBLINGS(Kardeşler)
Name(İsim)
Age (Yaş)
Date of Birth
(Doğum Tarihi)
EDUCATIONAL INFORMATION (Eğitim Bilgileri)
Name & Contact Details of current school or last school attended:
(Çocuğunuzun en son gittiği okulun adı ve iletişim bilgileri)
_________________________________________________________
Address(Adres): _________________________________________________________
_________________________________________________________
Phone Number(Telefon Numarası): __________________________________________
Dates of Attendance(Devam Tarihleri):________________________________________
Type of School(Okul Türü):  Private (Özel)  Public(Devlet)
Choice of Transportation( Ulaşım Tercihi)?
School Service Bus (Okul Servisi)
Family (Aile)
Driver (Şoför)
Other (Diğer) _______________________
By signing below, you verify that you have received the above items and that all
information on this registration form is complete and accurate.
Bu kayıt formunda bilgilerin eksiksiz ve doğru olduğunu imzalayarak kabul etmiş olursunuz.
__________________________________________
Signature of Parent/Guardian
(Veli İmzası)
_______________
Date
(Tarih)

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