Student Application Form

Student Information

Applying for: *High School ProgramESLSummer CampWinter CampOther

If "Other" was selected, enter the desired program:

First Name *

Last Name *

Sex *MaleFemale

Citizenship *

Date of Birth *

Month

Day

Year

Place of Birth *

ID Number *

Passport Number *

Mailing Address *

City *

State/Province *

ZIP / Postal Code *

Home Phone *

Parent 1 Cell Phone *

Parent 1 WeChat ID

Parent 2 Cell Phone

Parent 2 WeChat ID

Student Email *

Student WeChat ID

Education Background *

Name and Location of Last School Attended *

Highest Grade Completed

Additional Information

Health Information *Does the student have any allergy, medications, health concerns, or dietary restrictions? If so, include the details here:

Criminal History *Has the student committed any crime in the past? If so, include the details here:

Does the student have a student visa? *YesNo

Does the student have an MSP number? *YesNo

Guardian Information

First Name

Last Name

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Additional Attachments

Include any attachments you'd like to include in the application, such as transcript of student grade of the past two grades, ISP Legal Agreement, passport photo, health certificate.

Attachments

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