reason for leaving/transfer
離校或轉學理由
cumulative record currently at which school 目前就讀之學校
school 校名
address 校址
phone電話
i hereby certify that all the information provided above is true, and all questions have been answered accurately, completely and to the best of my knowledge and ability. i realize that failure to do so can be grounds for non-acceptance and/or immediate dismissal.
茲保證以上所填資料均屬實; 如有任何隱瞞不實,將遭到不得入學或勒令退學之處分.
signatures of all legal guardians are required. 所有法定監護人均須簽名.
parent signature x____________________________________ date日期 __________
父母簽名 x____________________________________ date日期 __________
references推薦人
please include below the names, addresses, and phone numbers of two references, one of which must be the child's most recent teacher. 二位推薦人中,至少須包括一位學童之現任教師.
name 姓名
address 住址
phone電話
if the child has any learning disabilities, handicaps (physical, mental, or emotional), or strong personality traits, please elaborate (use separate sheet if necessary.) 請詳述學童之學習障礙及特殊個性(可另紙說明).
include on a separate sheet, a hand-written essay by the student as to why he/she wants to attend our school. please encourage the child to be frank and straight forward and to express his/her true feelings and aspirations in the own sentiments and words. (approximate length will vary from 100 to 500 words according to age.)
請學童另紙詳述欲就讀本校之理由; 長度視其年齡而定,限在一百至五百字之間.
educating for filiality, service, humaneness, and integrity
忠 孝 仁 義
please paste student's recent picture here.
學生近照黏貼處