Pearlworth Foundation School

PERSONAL INFORMATION

First Name:

Middle Name:

Surname:

Date of Birth:

Nationality:

Religion (optional):

Gender:

Male

Female

Physical Address:

Passport Photo:

Please upload a passport-sized photo (max 2MB)

MAILING ADDRESS

P.O. Box:

Code:

Town/City:

Country:

RESPONSIBLE FOR SCHOOL FEES

Full Name:

Relationship to Child:

Phone Number:

Occupation:

Email Address:

Physical Address:

Telephone:

EMERGENCY CONTACTS

Emergency Contact 1:

Emergency Contact 2:

EDUCATIONAL BACKGROUND

Name and Address of Current/Most Recent School:

Number of Years at This School:

Entry Level Requested at Pearlworth Foundation School:

Primary 1

Primary 2

Primary 3

Primary 4

Primary 5

Primary 6

Entry requested for:

LEGAL CUSTODY

Who has legal custody of the child?

On what basis is this legal custody?

Additional information about visitation or access:

TRANSPORT

Will the applicant require the school bus?

Yes

DIETARY REQUIREMENTS

Is the applicant a vegetarian?

Yes

List any food not taken:

BOARDING

Are you applying for a boarding place?

Yes

SURVEY

How did you find out about International School of Entebbe?

Sign Board

Media

Existing Parent

Internet

Teachers

Events at School

Friend

CHECKLIST

Leaving certificate or report from previous school

Copy of vaccination/health record

Non-refundable registration fee of 50,000 UGX

Copy of birth certificate or passport

Standardized educational test results (if available)

Individualized Education Program (IEP)

School Application Form