EBGIS - Re-Enrollment Form

How many students are you applying for?

OneTwoThree

Student #1

First Name

Middle Name

Last Name

Applying for Grade

Student #2

First Name

Middle Name

Last Name

Current School

EBGIS

Other

Not in school yet

Applying for Grade

Date of Birth

Gender

Languages Spoken by Student

Language

Level

Student's Address

Street

Address Line 2

City

State

Postal Code

Country

Previous School

School Name

Current Grade

Street

Address Line 2

City

State

Postal Code

Country

References

Please provide the names and email addresses of the Student's last two teachers so that we may send them each a reference form:

Personal Statement

Why do you think EBGIS could be a good match for you child?

How would you describe your child in terms of personality, interests, and temperament?

How would you describe your child's development thus far (i.e., physical, social/emotional, cognitive, language) and any particular strengths and challenges?

How would you describe your child's educational experience thus far?

Has your child ever skipped or repeated a grade, or been asked to withdraw from a school? If so, please describe the circumstances.

How does your child like to spend her or his time outside of school? How does your child spend her or his time when alone?

What are your hopes and expectations for your child during her or his school years?

In what ways might you become involved in the school community at EBGIS? Do you have particular experience, skills, or talents that you would be able to share?

Student #3

First Name

Middle Name

Last Name

Current School

EBGIS

Other

Not in school yet

Applying for Grade

Date of Birth

Gender

Languages Spoken by Student

Language

Level

Student's Address

Street

Address Line 2

City

State

Postal Code

Country

Previous School

School Name

Current Grade

Street

Address Line 2

City

State

Postal Code

Country

References

Please provide the names and email addresses of the Student's last two teachers so that we may send them each a reference form:

Personal Statement

Why do you think EBGIS could be a good match for you child?

How would you describe your child in terms of personality, interests, and temperament?

How would you describe your child's development thus far (i.e., physical, social/emotional, cognitive, language) and any particular strengths and challenges?

How would you describe your child's educational experience thus far?

Has your child ever skipped or repeated a grade, or been asked to withdraw from a school? If so, please describe the circumstances.

How does your child like to spend her or his time outside of school? How does your child spend her or his time when alone?

What are your hopes and expectations for your child during her or his school years?

In what ways might you become involved in the school community at EBGIS? Do you have particular experience, skills, or talents that you would be able to share?

Sibling Not Applying to EBGIS

YesNo

First Name

Last Name

Date of Birth

School

Grade

Parent/Guardian

Number of Parents/Guardians

Parent/Guardian #1

First Name

Last Name

Phone

Occupation

Business Name

Parent/Guardian Address

Same address as Student #1Different address

Street

Address Line 2

City

State

Postal Code

Country

Parent/Guardian #2

First Name

Last Name

Phone

Occupation

Business Name

Parent/Guardian Address

Same address as Student #1Different address

Street

Address Line 2

City

State

Postal Code

Country

Signature

Parent/Guardian #1

Full Name

Date

Parent/Guardian #2

Full Name

Date

Signature

Parent/Guardian #1

Full Name

Date

Parent/Guardian #2

Full Name

Date

Payment

Application Fee

Payment Method

Bank Withdrwal

Credit Card

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Account Type

CheckingSavings

Name on Card

Card Number

Code

Billing Email

Billing Address

First Name

Last Name

Street

Address Line 2

City

State/Province

Postal Code

Country