Skip To Main Content

Apply Now

Required

Student Information

(If applying for multiple students, please fill out a separate application for each child)

Student Namerequired
First Name
Last Name
Qualifications for Foreign School Enrollment (check all that apply)required
Birth sexrequired
Ethnicity (check any that apply)
Is English the student's native language?required

Student Educational Background

mm/dd/yyyy (Must contain a date in M/D/YYYY format)
Has the student ever repeated a grade?required
Has the student ever been evaluated for a learning or behavior disability (ASD, ADHD, ODD, Dyslexia, etc)?required
Has the student ever been recommended to receive an evaluation for a learning or behavior disability (ASD, ADHD, ODD, Dyslexia, etc)?required
Does the student have an IEP or receive accommodations/modifications for learning?required
*IMPORTANT NOTE: Failure to disclose diagnosed and/or suspected learning and behavior difficulties could affect admissions decisions.

Student Health Information

Is the student currently receiving medical care?required
Does the student take medication regularly?required
Is the student using a medical device?required

Family Information

Parent/Guardian #1required
First Name
Last Name
Relationship to Childrequired
Ethnicity (check any that apply)
(city, country)
Parent/Guardian #2
First Name
Last Name
Relationship to Child:
Ethnicity (check any that apply)

Emergency Contact Information

(if parent/guardian cannot be contacted)

Namerequired
First Name
Last Name
I, the parent (or legal guardian) of the above named child, attest that the information and answers given in this application are true to the best of my ability. I understand that any false information given can have adverse effects on my child's application and/or placement at International Christian School Pyeongtaek.