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北大附中

北大附中天津东丽湖学校入学申请表PKUHS Tianjin School (PTS) Application for Admissions

感谢您对北大附中天津东丽湖学校的关注,如需报名,请完成以下表格.

Thanks for your interests in PKUHS Tianjin School. For admission application, please fill the form below

基本信息 Basic Information

*申请人姓名Chinese Name
英文名字English Name
*申请入学年级Desired Grade
申请入学时间Desired Enrollment Date
*学生身份证号Student ID Card
*出生日期Date of Birth
*性别Gender
*国籍Nationality
*户口所在地Hukou
*毕业/现就读学校Graduate/Present School
现在年级Current Grade
*家庭住址Home Address
是否申请住宿(初中,高中)Accommodation
*邮箱地址Email

家庭信息 Family Information

*姓名Name国籍Nationality文化程度Education Background*工作单位Company职务Position*手机Mobile

父亲Father

母亲Mother

父亲Father

母亲Mother

*姓名Name
国籍Nationality
文化程度Education Background
*工作单位Company
职务Position
*手机Mobile

学生兴趣爱好、课外活动及社会实践 Extra Curricular Activities And Community Service

*1、请列出学生的兴趣爱好,如曾经参加任何项目或比赛请注明:Please list the applicant's hobbies and interests.

2、请列明学生过去两年参加的课外活动(小学二年级以上学生填写,填写不超过四个)。Please list the applicant's extra curricular activities participated in the past two years. (Filled by Grade 2 and above)

活动名称Activity职务/角色Position/Role参加时间Years of Participation参与程度Level of Representation(e.g. School Training Team, School 所获奖项/成就Awards/Achievement
1
2
3
4
1234
活动名称Activity
职务/角色Position
参加时间Years
参与程度Level
奖项/成就Awards

3、请列出学生曾参加过的实践与服务活动。Please describe any community and service activities the applicant has been involved in.

家长意愿 Parent Willingness

1、您是否有一项专长或技能愿意与学校分享?请详述。Describe an area of expertise or a skill you have that you would be willing to share with our school.

2、您希望如何在学校或社区开展家长活动?How would you like to develop parent activities in our school or community?

3、请简要描述您作为家长对孩子的期望/教育理念。Please briefly describe your expectations of your child or educational philosophy.

*4. 您是如何知道北大附中天津东丽湖学校的?Please tell us how you learned about BTS.

学生背景调查 Personal History of Applicant

*1、学生是否属于重读?如是,哪一年级?Has the applicant repeated any grades? If yes, Which grade(s)?

*2、学生是否曾被学校要求停学或开除?Has the applicant been requested to leave a school?

*3、学生是否在健康、体能发展或学习方面需要特殊关注?(如癫痫、特殊学习障碍、过度活跃、注意力缺陷、自闭等。)Does the applicant have any health, physical developmental or learning concerns? (e.g. Epileptic, Specific Learning Difficulties, Attention Deficit/Hyperactivity Disorder, Autistic Spectrum Disorder, etc.)

*4、 学生是否曾需要用药物控制注意力,过度活跃或其他精神、情绪和行为?如有,现在是否仍服用?Has the applicant been prescribed medication for attention deficit, hyperactivity or other emotional needs? If so, is the applicant receiving medication at this time?

如以上任何一项填写是,请填写详细情况信息。If the answer is "Yes" to any of the questions above, please provide details below.

针对北大附中天津东丽湖学校,您还有哪些问题?

服务条款 Term of Service

*

我已知如被发现提供任何与事实不符或虚报资料(包括隐瞒相关信息),北大附中天津东丽湖学校可以取消学生申请资格。此外,如学生已被录取并正式上课,也可能因资料不正确而被要求退学。 understand that if I fail to provide accurate details of important information, including withholding pertinent information, about this applicant, it may result in BTS withdrawing the offer for the applicant to study at the school. In addition, if the applicant has been accepted and is already attending the school, the applicant may be asked to leave if it transpires the information provided on this form is incorrect.

*家长监护人签字Signature of Parent/Guardian

*手机号(用于接受消息、通知)Telephone(For receiving message)

有意向请点击进入:参加宣讲会及预约入校参观