Please
print this form and send by fax or mail, or cut and paste into Word and send by
email.
APPLICATION FOR ADMISSION TO HØRSHOLM
INTERNATIONAL SCHOOL
Applicant:
Family name: ____________________ First Name (s):
____________________
Date of birth (D/M/Y): ____________ Sex:
____________________________
Nationality:
___________________
DK Address:
________________________________________________________
Post Code:
___________________ Town:
_____________________
DK-Kommune: ___________________
DK-Telephone: ____________________
CPR Number: ___________________
E-mail:
_____________________
If your child is not a Danish CPR
Number holder – are you planning that he/she will be? Yes/No
Home Address:
________________________________________________________
Country:
___________________ Home
telephone: ___________________
Father or Guardian:
Mother or Guardian:
Name: __________________________ Name:
___________________________
Nationality: ______________________
Nationality: _______________________
Profession/Title: __________________
Profession/Title: ___________________
Company/employer: _______________ Company/employer:
________________
Address of company/employer: ______ Address of
company/employer: _______
________________________________
_________________________________
Office Telephone: _________________ Office Telephone:
__________________
Office Fax: _______________________ Office Fax:
_______________________
Name and age of siblings in the family
____________________________________
Name of brothers/sisters enrolled at HIS
____________________________________
Please
list previous schools attended by the applicant, beginning with the most recent
one:
1:
Name of school:
_________________________________________________
Address:
_______________________________________________________
Country:
_______________________________________________________
Language of instruction:
___________________________________________
Grades/Forms:
__________________________________________________
2: Name of school:
_________________________________________________
Address:
_______________________________________________________
Country:
_______________________________________________________
Language of instruction:
___________________________________________
Grades/Forms:
__________________________________________________
Total years of school completed (excluding
pre-school and kindergarten): _________
Family Language/Mother Tongue: __________
Applicant’s best language: ________
Other languages spoken:
________________________________________________
Number of years studying the English
language: _____________________________
Has the applicant any medical circumstances
the school should be aware of? No/Yes
If yes, which medical circumstances?
______________________________________
Any allergies? No/Yes. If yes, which allergies?
______________________________
Any physical limitations? No/Yes. If yes, which physical limitations?
____________
Has the applicant ever required special
needs education? No/Yes
If yes, for which learning disabilities has
the applicant received which special education services?
_____________________________________________________
How many years has the applicant lived in
Denmark? __________________________
How many years has the family lived in
Denmark? ____________________________
From what source did you first hear of HIS?
_________________________________
Date
Signature of Parent (s) or Guardian (s)
_____________________________________________________________________
Hørsholm International School,
Christianshusvej 16, 2970 Hørsholm, Denmark
Telephone 0045 45 57 26 16 Fax 0045 57
26 69
Email: his@ngg.dk