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Lajmet Profili i shkollës Kopshti i fëmijëve & Foshnjorja
Mësimi me korrespondencë Kalendari Formulari për aplikim Faqja kryesore
 
 
  Application form

Application form

 

Këto faqe janë vetëm në gjuhën angleze.

Për të aplikuar për regjistrimin e fëmijës tuaj në American School Macedonia, Ju lutemi plotësojeni formularin në vijim. Brenda pesë ditëve të punës do të kontaktoheni nga administrata shkollore. Mund të lajmëroheni në shkollë për informata të mëtejshme të lidhura me procedurën e aplikimit.

 

Student’s information

 

Name (last)
Name (first)
Current grade
Citizenship
Birthplace (town/city)
Birthplace (country)
Date of birth MM DD YYYY
Home address (street address 1)
Home address (street address 2)
Home address (street address 3)
Town/city
Postcode/Zip
Country
Home telephone (figures only; no spaces)
Emergency telephone (figures only; no spaces)
   
Name of previous school
Address of previous school (street address 1)
Address of previous school (street address 2)
Address of previous school (street address 3)
Town/city
Postcode/Zip
Country
Previous grade
   

 

Father’s information

Name (last)
Name (first)
Citizenship
Home address (street address 1)
Home address (street address 2)
Home address (street address 3)
Town/city
Postcode/Zip
Country
Home telephone (figures only; no spaces)
   
Occupation
Workplace address (street address 1)
Workplace address (street address 2)
Workplace address (street address 3)
Town/city
Postcode/Zip
Country
Work telephone (figures only; no spaces)

 

Mother’s information

Name (last)
Name (first)
Citizenship
Home address (street address 1)
Home address (street address 2)
Home address (street address 3)
Town/city
Postcode/Zip
Country
Home telephone (figures only; no spaces)
   
Occupation
Workplace address (street address 1)
Workplace address (street address 2)
Workplace address (street address 3)
Town/city
Postcode/Zip
Country
Work telephone (figures only; no spaces)

 

Emergency contact

Name (last)
Name (first)
Relationship
Home address (street address 1)
Home address (street address 2)
Home address (street address 3)
Town/city
Postcode/Zip
Country
Home telephone (figures only; no spaces)
Work telephone (figures only; no spaces)

 

Release of liability form

Please read or have translated the following statements and tick each box to indicate that you understand and release American School Macedonia of all liability pertaining to the items below.

I understand the inherent dangers in some school activities such as physical education and organized field trips. There are also dangers associated with the everyday operation of American School Macedonia that the school has no control over.

The administration of American School Macedonia reserves the right to refuse educational services to any particular client if it is believed to be in the best overall interests of the school and/or its students.

I understand that there is no refund of tuition if my child decides to withdraw from or is expelled from American School Macedonia.

I understand that non-payment or late payment of tuition may result in the administration of American School Macedonia withholding certain official school documents and other measures.

I understand that the student is responsible for any replacement/repair costs for books and other school property that has been lost or abused beyond normal wear and tear.

Name of parent: last first

I have understood and agree with the above.

Date MM DD YYYY

 

Medical information and release form

Student’s height
Student’s weight

 

The medical information provided in this form will be kept strictly confidential. We strongly suggest that this form be verified by a doctor’s visit, so that the employees of this institution can get the clearest possible picture of your child’s needs.

Are there any abnormalities in the following systems?

  Yes No If yes, please explain briefly
Ears, nose or throat
Respiratory
Cardiovascular
Gastrointestinal
Hernia
Eyes
Genitourinary
Musculoskeletal
Metabolic/Endocrine
Neuropsychiatric
Skin
Allergic reactions
Other
Other
Other

 

  Yes No If yes, please explain
Has your student ever contracted contagious diseases such as active tuberculosis?
Does the student use prescription medication?
What recommendations are made for its further use?    
Has the student ever been diagnosed with a physical disability or condition?
Are there any other physical problems in the student’s history that have not been mentioned?

 

Recommendation for Physical Activities (please check the appropriate box, and provide explanation if needed):

  Temporary Permanent Please explain
No restrictions
All activities except swimming
No vigorous activity
No physical activities at all
Physical activity must be adapted to medical condition

 

  Yes No If yes, please explain
Has the student ever had psychological diagnosis in his/her medical history?
Are there any emotional issues that the student finds sensitive? As educators, it is a great help to us if we have a complete picture of the emotional stresses that a child may be undergoing.

 

Medical release

  • I (We), the parent(s) of the above named child, submit that the above information is true.
  • I (We) hereby authorize American School Macedonia and its staff and administration to approve medical treatment and/or assistance which may be deemed necessary for the wellbeing of our child in our absence.
  • Basic first aid may be needed at times and such assistance may be approved by the supervising staff person at the school or at the school function (when away from school).
  • I (We) understand that such assistance shall be at the expense of the parent and not of the school. I (We) understand that regular check-ups and medical services, such as immunization against disease, are the responsibility of the parent.
  • I (We) shall notify American School Macedonia of any change in the above medical information.

Name of parent: last first

I have understood and agree with the above.

Date MM DD YYYY

Name of parent: last first

I have understood and agree with the above.

Date MM DD YYYY

 

Discipline guide

The following information is applicable to all students who attend ASM. All students and parents are expected to read the text below and fill in the boxes underneath to indicate their understanding of, and agreement with, the contents.

Download this information for your records

PDFPlain text

 

Name of student: last first

I have understood and agree with the above.

Date: MM DD YYYY

Name of parent: last first

I have understood and agree with the above.

Date: MM DD YYYY

 

 

 

Kompleksi Makoteks, Nikola Parapunov pn, Karposh IV 1000 Shkup, Maqedoni. Tel +389-2-3063-265. Fax: +389-2-3091-331. Email: contact@asm.edu.mk

LajmetProfili i shkollësKopshti i fëmijëve & FoshnjorjaMësimi me korrespondencëKalendariFormulari për aplikimFaqja kryesore