Student Application / Renovation Form (Per Student)

Applying for Year *

For Academic Year [e.g. 2018/2019] *

First name *

Family name *

Fiscal number *

ID Card / Passport number *

Health Card Number *

Date of Birth [e.g. 27/09/1995] *

Home Address *

Postal Code *

City *

Home Telefone *

Student Guardian Email *

Allergies

Other medical conditions

Level of English *

No prior exposureBeginnerIntermediateAdvancedNative speaker
Spoken
Written
If English is not your child's first academic language, how long has she/he studied English?

Other language(s) [e.g. Italian - Intermediate, Russian - Advanced, etc...]

Last school(s) [Name of school(s), Grades attended & Country]

Is your child currently following an accredited Cambridge curriculum? *

If yes, please write: (PYP, MYP, IGCSE, AICE Diploma)

Relation to Applicant *

First Name *

Family Name *

Nationality *

Lives with Applicant *

Will be living with Applicant in Portugal *

If no, please provide your home address

Fiscal Number *

Home Phone Number *

Mobile Number *

Email *

Father's employer name in Portugal [If applicable]

Position/Title


Relation to Applicant *

First Name *

Family Name *

Nationality *

Lives with Applicant *

If no, please provide your home address:

Fiscal Number *

Home Phone Number *

Mobile Number *

Email *

Mother employer name in Portugal [If applicable]

Position/Title