APPLICATION
	MOTHER
	Family Name		Given Name
	Private Phone		Business Phone
	Mobile Phone		Home Address, Street
	Zip Code		City
	Email		Fax

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	FATHER
	Family Name	Given Name
	Private Phone	Business Phone
	Mobile Phone	Home Address, Street
	Zip Code	City
	Email	Fax

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	STUDENT
	Family Name		Given Name
	Date of Birth (Format: tt.mm.jjjj)		Gender
			female male
	Nationality
	Current Grade
	6 7   8   9   10   11   12
	Average Grade

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	SIBLINGS
	Family Name		Given Name
	Date of Birth (Format: tt.mm.jjjj)
	Family Name		Given Name
	Date of Birth (Format: tt.mm.jjjj)
	Family Name		Given Name
	Date of Birth (Format: tt.mm.jjjj)

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	ACADEMIC DETAILS
	Name of Current School
	Address of Current School
	Favourite Subjects at School (please list)
	Career Plans (if known)
	English Language Ability
	Poor   Fair   Good   Very Good   Excellent

	Years of English
	Last Grade in English
	Average Grade on Last School Report

	Foreign Languages:
	Language - 1st		Language - 2nd
	Language - 3rd		Language - 4th

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	PERSONALITY
	Personality Traits (check three that most aptly apply)
	Shy   Friendly   Outgoing   Quiet   Adaptable   Serious   Sense of Humour   Making Friends Easily   Inquisitive

	Other Personality Traits
	Hobbies/Interests
	Sports
	Musical Instruments
	Health Problems
	Allergies
	Medication

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	BRITISH SCHOOL INTENTION
	Date of School Entry
	Jan. 2012   April 2012   Sept. 2012   Jan. 2013   April 2013   Sept. 2013   Jan. 2014   April 2014   Sept. 2014
	Length of Stay
	1 Term   2 Terms   3 Terms   Longer
	Maximum Term Fee
	£6,500   £8,500   not a relevant criterion

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	Please also send via Post, Email or Fax the following: Photo Last two school grade reports 1-2 page report in English on your own person and your expectations of the time spent in Great Britain
	Fax: 089-28 67 35 62 Email: mail@riedenauer-education.de Riedenauer Education Isabellastr. 17 80798 München Deutschland www.riedenauer-education.de
	Ich erkläre mich einverstanden, dass die Bewerbungsunterlagen meines Kindes an die empfohlenen Schulen weitergeleitet werden und akzeptiere eine Bearbeitungsgebühr von Euro 200 (inkl. MWST).