Application form

Date of entry

School year

Class

High school program (for year 10 and above)

IB - International baccalaureate diploma programme AP - American program

Student's details

Name, middle name

Surname

Date of Birth

Place of Birth

Nationality

ID Nr. (rodné číslo)

Passport No. (for non-Slovak nationalities only)

Citizenship

Male Female

Student will be living with

Both parents Mother Father Other

Parent's contact details - Father

Authorized to pick up the child

Yes No

Emergency Contact

Yes No

Name, middle name

Surname

Telephone home

Work

Employer

Occupation

Address in Slovakia

Permanent Address in home country

Email Adress

Parent's contact details - Mother

Authorized to pick up the child

Yes No

Emergency Contact

Yes No

Name, middle name

Surname

Telephone home

Work

Employer

Occupation

Address in Slovakia

Permanent Address in home country

Email Adress

Other legal guardian

Authorized to pick up the child

Yes No

Emergency Contact

Yes No

Name, middle name

Surname

Telephone home

Work

Employer

Occupation

Address in Slovakia

Permanent Address in home country

Email Adress

Contract details

The contract will be issued on (please choose)

Father Mother Other

Address of the parent (from parent details written above – please choose)

Father Mother Other

Email address for contact purposes / which will be the main contact email address for communication between school and parents

School history

School Name

School Address

Contact Person

Email Address

Language of instructions at school

Last grade completed

Level of English

Elementary Intermediate Upper Intermediate Advanced

Which language would you like your child to study as a foreign language?

German Spanish French I don't know

Do you have any language certifications in English, Spanish, French or German? If yes, please indicate the level and the institution that provided the certification

Has your child ever been identified with learning difficulties

Yes No

Last grade completed

Has your child ever received learning support?

Yes No

Has your child ever been involved in disciplinary action taken at school?

Yes No

Does your child have any physical disabilities that require special attention?

Yes No

If yes, please give details

Has your son/daughter received any academic honors?

What outside of school activities does your son/daughter participate in?

To complete your child's application please inculde following documentation

Primary and Academy

Application for student’s Enrollment / Žiadosť o prijatie
Health Form
Copy of Birth certificate (Slovak) or Copy of Passport (for non Slovak nationalities)
Copy of Health Incurance Card
Copies of a School reports from previous school

Also, please include copies of all other relevant information (f.e. report of postponed school enrollment, special educational needs or learning difficulties examination records).

PLEASE DELIVER YOUR APPLICATION PACKAGE TO OUR SCHOOL OFFICE EITHER PERSONALLY OR SCANNED VIA admissions@eisbratislava.org

Thank you.

CONSENT FOR PROCESSING OF PERSONAL DATA

Herby i consent to the processing of my and my child’s peraonal data under the Act. No. 122/2013 Coll. personal data protection of Private primary school EISB Radničné námestie 3 in Bratislava. Provision of data is voluntary and without consequeces to the face that the information given in the application for admision of school and the photocopy of the Annexes will be used for purpose of processing personal data in the Students registration according the Act Nr. § 28 et seq. Law no. 122/2013 Coll. from receipt of the request.

By submitting this form, I confirm that all information provided is accurate and complete. I understand that submission of this form is considered equivalent to my signature.

Application form

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