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Application Form International Section
 
 






 
Applying for grade  
Name of student
Home address
e-mail
 Phone
Date of birth (mm/dd/yy)
 Citizenship
Last School Attended
Grade Completed
Father´s Name
Address
Place of birth
 Citizenship
Firm or Organization
Business Address
Phone
 e-mail
 Cell phone
Mother´s Name
Address
Place of birth
 Citizenship
Firm or Organization
Business Address
Business Address
Phone
 e-mail
 Cell phone

Does the applicant have siblings at the American School of Quito?

Yes No Grade Section

Are other siblings Applying for other grades?

Yes No Grade/s Section

Did the Parents of the applicant study in the International Section?
Yes No Years Completed

Did the Parents of the applicant study in the National Section?

Yes No Years Completed

Does the applicant require any special medical attention? If yes, please explain:

Has the applicant ever received extra academic help, inside or outside of school? If yes. please explain:

Has the applicant failed a school year? If yes, please explain:

Has the applicant had an evaluation, either by a clinical psychologist, educational psychologist or psychiatrist? If yes, Please explain:
Please note that completion of this application does not imply automatic admission. All the above information is subject to verification by Fundacion Colegio Americano De Quito.
 
 
 
 
 
 
International Section .::
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