.: Formulario de Matrícula EIS :.

Application For Registration EIS


General Data

Pre-school Schedule:
Status:
Student's Full Name:
Grade to Enter:
Student's Sex:
Student's Nacionality:
Date of Birth:
Place to Birth:

Names of brothers and sister at E.I.S., Campus San Pedro Sula and/or La Lima

Name:
Grade:

Name:
Grade:

Name:
Grade:

Name:
Grade:

Parents' Information

Father's or Guardian's Name:
Nacionality:
Mother's or Guardian's Name:
(Include maiden name)
Nacionality:
Address:
Email's Guardian(valid email):
Telephone Home:
Is either parent a graduate or alumni of E.I.S.?
Father:
What Dates?:
Mother:
What Dates?:
Father's Profession:
Present Occupation:
Phone oficce:
Cell:
Mother's Profession:
Present Occupation:
Phone oficce:
Cell:

Parents' Employer's Information

Exact name of father's employer or his own business firm :

Exact name of Mother's employer or her own business firm :

Complete address of father's employer or his own business firm :

Complete address of Mother's employer or her own business firm :

Is the employer or firm affiliated with an American or Internacional firm?


Other

Who will be responsible for school fees?:
Does your child speak and understand English?:
Spanish?:
Another?:
School attended previously by the Student:
Does your child have a health condition that would prevent his/her participating in the physical education program?:
Specify: