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APPLICATION FOR ADMISSION

For the school year:

Grade applying for:

Expected entry date:

Current grade:

PERSONAL DATA: STUDENT

Name:

Gender:

Male Female

Date of birth:

Contry of birth:

Nationality:

Student's E-mail:

Home address:

PLACEMENT TEST SCORES

English:

Math:

STUDENT'S EDUCATIONAL HISTORY

	Name & Country of schools	From (Month/Year)	To (Month/Year)	Grade / Level (From/To)	Language of Instruction
1
2
3

LANGUAGE:

ENGLISH LANGUAGE BACKGROUND:

If your child has some knowledge of English, please indicate the level in the box below

	First Language	Second Language	Third Language
Child's Language
Father's Language
Mother's Language

Please check to indicate your child’s language skills

Listening

Good Fair Very Little None

Speaking

Good Fair Very Little None

Reading

Good Fair Very Little None

Writing

Good Fair Very Little None

A. How long has he/she been learning English and at which school?:

No of years:

School:

B. Is he/she studying a tutorial English program, and, if so, at which school or at home:

School/Home:

Details:

FAMILY INFORMATION _{(This information is required for the child's benefit and safety)}

Parents' marital status:

Married Divorced Separated Remarried

Who has the legal custody?

Father Mother Gardian
Please specify relationship to student

Who student lives with?

Both parents Father/mother Gardian

	Father	Mother
Title (Dr,Mrs,etc)
Family name
First name
Nationality
Date of Birth
Occupation
Mobile telephone number
Email address

STUDENT'S SIBLINGS

	Name	Gender (M/F)	Date of birth	Grade/Level	School
1
2
3
4
5

GENERAL INFORMATIONS

Is your child taking any medication on a regular basis?

Yes No N/A

Does your child have any physical health limitations?

Yes No N/A

Does your child have any food allergy?

Yes No N/A

Does your child have any special musical talent or sport skills?

Yes No N/A

Has your child attended any gifted or talented program?

Yes No N/A

Has your child ever been suspended, asked to leave, or dismissed from school?

Yes No N/A

Has your child been provided with academic learning support in the past?

Yes No N/A

Has your child ever been assessed by an Educational Psychologist due to learning concerns?

Yes No N/A

Has your child ever been assessed by an Educational Psychologist due to behavioural concerns?

Yes No N/A

If (Yes) to any of the above, please describe and also enclose copies of the results

APPLICATION FOR ADMISSION

PERSONAL DATA: STUDENT

PLACEMENT TEST SCORES

STUDENT'S EDUCATIONAL HISTORY

LANGUAGE:

ENGLISH LANGUAGE BACKGROUND:

If your child has some knowledge of English, please indicate the level in the box below

Please check to indicate your child’s language skills

A. How long has he/she been learning English and at which school?:

B. Is he/she studying a tutorial English program, and, if so, at which school or at home:

FAMILY INFORMATION _{(This information is required for the child's benefit and safety)}

STUDENT'S SIBLINGS

GENERAL INFORMATIONS

PERSONAL MEDICAL HISTORY_{(This information is required for the child's benefit and safety)}

36 Rue Sokrate. Zone Industrielle Kheireddine, Les Berges du lac 3, La Goulette.
Tunis, Tunisia 2060

00216 55 10 21 02 00216 93 006 008

contact@oist.tn

APPLICATION FOR ADMISSION

PERSONAL DATA: STUDENT

PLACEMENT TEST SCORES

STUDENT'S EDUCATIONAL HISTORY

LANGUAGE:

ENGLISH LANGUAGE BACKGROUND:

If your child has some knowledge of English, please indicate the level in the box below

Please check to indicate your child’s language skills

A. How long has he/she been learning English and at which school?:

B. Is he/she studying a tutorial English program, and, if so, at which school or at home:

FAMILY INFORMATION (This information is required for the child's benefit and safety)

STUDENT'S SIBLINGS

GENERAL INFORMATIONS

PERSONAL MEDICAL HISTORY(This information is required for the child's benefit and safety)

36 Rue Sokrate. Zone Industrielle Kheireddine, Les Berges du lac 3, La Goulette.Tunis, Tunisia 2060

00216 55 10 21 02 00216 93 006 008

contact@oist.tn

FAMILY INFORMATION _{(This information is required for the child's benefit and safety)}

PERSONAL MEDICAL HISTORY_{(This information is required for the child's benefit and safety)}

36 Rue Sokrate. Zone Industrielle Kheireddine, Les Berges du lac 3, La Goulette.
Tunis, Tunisia 2060