复旦附中国际部FudanInternationalSchool新生入学申请表APPLICATIONFORADMISSION学生情况APPLICANT学生姓名Applicant'sName______________________________中文名ChineseName_____________FirstMiddleInitialLast昵称Nickname_______________E-mail___________________________MaleFemale出生年月DateofBirth________________出生地PlaceofBirth________________________________Mo./Day/YearCityState国籍Nationality__________护照号PassportNo._______________护照有效期Validuntil_________Year/Mo.本国住址HomeAddress______________________________________________________________StreetCityState/Province电话Tel____________________邮编Postcode_________________上海住址AddressinShanghai___________________________________________________________电话Tel____________________传真Fax___________________邮编Postcode_________________现就读学校PresentSchool_____________________________________________________________CityState现就读年级PresentGrade_____________申请入学日期Proposed/EntranceDate_________________申请年级GradeApplyingTo___________是否申请住宿DayStudentorBoarder是Yes否No教育背景EDUCATION年/月至年/月FromYear/Mo.toYear/Mo.就读学校及所在城市ListPreviousandCurrentSchoolsandCityNames年级Grade/---//---//---//---/语言水平LEVELOFLANGUAGE语言熟练程度（很好/好/一般/初学）LanguageProficiency(Excellent/Good/Average/Beginner)阅读Reading会话Speaking听力Listening书写Writing英语English汉语Chinese拟选择学习的课程（在选项处打√）是Yes□等级/levelIntendedProgram(tick"√"foryourchoice)英语课程EnglishTraining汉语课程ChineseTraining是否考过HSK(在选项处打√)HaveyouevertakenHSK?否No□家庭和监护人情况PARENTORGUARDIANParents父亲姓名Father'sName_____________________母亲姓名Mother'sName______________________工作职务Occupation_______________________工作职务Occupation_________________________工作单位Employer_________________________工作单位Employer__________________________单位地址BusinessAddress___________________单位地址BusinessAddress_____________________________________________________________________________________________________电话Tel__________________________________电话Tel___________________________________手机Mobile_______________________________手机Mobile________________________________E-mail__________________________________E-mail______