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Porto Alegre
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Application for Admissions
Student Applicant Information
Student Citizenship:
International Citizen
Brazilian Citizen
Last Name:
First Name:
Nationality:
Date of Birth:
Gender:
M
F
Number of Siblings:
Language Spoken at Home:
Other Language(s) Spoken:
Name of Previous School:
Last Grade Completed:
Country Last Grade Completed:
Date of arrival in Porto Alegre:
Language Fluency Levels
English:
understands
speaks
reads
writes
no skills
Portuguese:
understands
speaks
reads
writes
no skills
Other Language:
Has the student participated in the following?:
no
Gifted/Gifted and Talented
Special learning or behavior support
ESL - English as a second language programme
Speech/language therapy
Please describe programmes checked:
Home Address
Home Address:
City:
Zip Code:
Country:
Telephone:
Father Information
Father Citizenship:
International Citizen
Brazilian Citizen
Father Legal Name:
Father Passport Country of Issue:
(father)How long have you lived in Brazil:
(father)How long do you plan to live in Poa:
Father Cellular Telephone:
Father E-mail address:
Father Profession:
Father Employed:
Yes
No
Father Name of Company:
Father Telephone of Company:
Father Position/Job Title:
Father Proficiency in English:
Excellent
Good
Limited/None
Mother Information
Mother Citizenship:
International Citizen
Brazilian Citizen
Legal Name:
Passport Country of Issue:
How long have you lived in Brazil:
How long do you plan to live in Poa:
Cellular Telephone:
E-mail address:
Profession:
Employed:
Yes
No
Name of Company:
Telephone of Company:
Position/Job Title:
Proficiency in English:
Excellent
Good
Limited/None
Finance Responsability
Financial Responsability:
Parents
Company
Second Student Information
Student Citizenship:
International Citizenship
Brazilian Citizenship
Last Name 2:
First Name 2:
Nationality 2:
Date of Birth 2:
Gender 2:
M
F
Language Spoken at Home 2:
Other Language(s) Spoken 2:
Name of Previous School 2:
Last Grade Completed 2:
Date of arrival in Porto Alegre 2:
Comments:
Required field
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