Der Deutsche Schulverein Washington, D

____________________________________________________________________________________________________________
8617 Chateau Drive • Potomac, MD 20854 • ph: 301.365.4400 • fax: 301.365.3905 • [email protected] • www.dswashington.org
ENROLLMENT APPLICATION
Please print or type legibly in block letters. Return all applications to:
German School Washington, D.C.
Attn: Admissions
8617 Chateau Drive
Potomac, MD 20854
USA
Include the following:
signed Admissions Application
$75 non-refundable Application Fee per student (new and returning)
Please make checks payable to “German School Society”.
student’s report cards or transcripts dating back three years
If applying for the current school year, transcripts from your child’s previous school are required.
Health Inventory & Immunization Certificate
Parent Questionnaire
Applications will be processed as soon as all of the materials indicated above are received. Please allow 1-2
weeks for processing.
I hereby apply for the admission of my daughter/son beginning on
______________________________
Date
School Branch
Preschool
□
Panda-Group: ____
Preschool:
____
School Entry Level
□
n/a
Elementary School (grade 1-4)
□
Grade _____
Orientation Level (grade 5)
□
Grade _____
Intermediate Secondary School (grade 6-10)
□
Grade _____
Middle or High School (grade 6-12)
□
Grade _____
1
Student Information
First Name
Middle Name
Last Name
Date of Birth (DD/MM/YYYY)
Current Age
Starting age at the German School
______/_____/_______
City and country of birth
Years
Months
Citizenship/Nationality
Years
□ Male
Months
□ Female
Religion
Ethnic Background (optional)
________________________________
□ White
□ African-American
□ Native American
□ Hispanic
□ Middle Eastern
□ Multiracial
□ Other __________________________________________
□ Asian-American
Visa/ Status of Residence:
Contact Information – Parent/Guardians
Parent/Guardian Name
Parent/Guardian Name
Current Street address
City, State
Postal code
Country
Nationality
Employer
Profession
Cell phone (or other, please specify)
Phone 2 (please specify)
Email (please print clearly)
In the case of divorce or legal separation parents, please provide custody arrangements:
Does the student have any special learning needs (Dyslexia, ADD, etc.)? If yes, please enclose detailed information and current
diagnosis (dating back 2 years).
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
2
Languages Spoken/Foreign Language
Which language(s) is/are spoken in the home?
Please assess student’s ability in each language he/she speaks. Use the following:
0 – None or no experience, 1 – Novice or beginner, 2 – Intermediate or halting fluency,
3 – Advanced or mostly fluent, 4 – Native or complete fluency
Additionally, please indicate how the student was exposed to the language – home, school, lived abroad, etc.
Foreign Language:
Speaking
Reading
Writing
Specify the School
Grade(s) studied
German
English
Spanish
French
Latin
Education History
Previous schools attended
Name of School
Location
Grades attended
Dates attended
Has the student repeated any grades? If yes, please indicate which grades.
The German School Washington, D.C. does not discriminate on the basis of race, religion, national or ethnic origin, or disability in the
administration of its hiring, educational policy, admissions, financial aid practices, or of its athletic and other school-administered programs.
e enclosed my $75.00 application fee.
______________________________
Signature of parent/legal guardian
____________
Date
The final decision regarding admissions is made by the Head of School.
3
______________________________________________________________________________________________________
8617 Chateau Drive • Potomac, MD 20854 • ph: 301.365.4400 • fax: 301.365.3905 • [email protected] • www.dswashington.org
Eltern Fragebogen / Parent Questionnaire
SCHÜLER / APPLICANT ___________________________________________________________ FÜR KLASSE/APPLYING TO GRADE ________________
Name des Elternteils, der den Antrag ausfüllt/ Name of Parent(s) completing this form ____________________________________________________________
Um Ihr Kind besser kennenzulernen, bitten wir Sie, die folgenden Fragen zu beantworten./In order to help us get to know your child better, we
would appreciate your answers to the questions below.
Wie würden Sie die Persönlichkeit Ihres Kindes beschreiben? / How would you describe your child’s personality?
Bitte beschreiben Sie die Interessen und Aktivitäten Ihres Kindes:/ What are your child’s interests and activities?
Wie geht Ihr Kind mit neuen Situationen und Herausforderungen um? / How does your child respond to new situations and challenges?
Beschreiben Sie schulische oder auβerschulische Förderung, die ihr Kind bekommen hat. (Bitte legen Sie zutreffende Beurteilungen und/oder Berichte
bei.) /
Describe any areas in which your child has received academic or any other support. (Please attach relevant evaluations and/or reports.)
Gibt es weitere Information über Ihr Kind oder Ihre Familie, die Sie angeben möchten? / Is there additional information about your child or your family
that you would like to include?
The German School Washington, D.C. considers the admission of students based on individual merit and without regard to race, color, religion, national or ethnic
origin.