Creativity Private School Mission
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Creativity
Private School main concern and aim of is to empower student
of the school by developing their abilities to ensure the are capable of dealing with today’s challenges through the
implementation of the holy book Al- Quraan, & AlSunnah. Meanwhile, academic study, research and knowledge is our goal.
APPLICATION FORM
Personal Information
Child’s Name: ------------------------------------------------------------------------------------------------------
Father
Name: -----------------------------------------------------------------------------------------------
Surname:
----------------------------------------------------------------------------------------------------
Sex:
-----------------------------------------
Nationality: -------------------------------
Date of Birth------------------------------
Place of Birth: ------------------------------
Please list language your child speaks in order of proficiency:
1- _________________ 2- __________________ 3- __________________ 4- _________________
Family Information:
FATHER: Name: ----------------------------------------Nationality:
---------------------------------------
Occupation: ------------------------------------------------Work
address: --------------------------------
Work Tel No: ----------------------------------------------Mobile
No. --------------------------------------
MOTHER: Name: ----------------------------------------Nationality: ----------------------------------------
Occupation:
------------------------------------------------Work address: --------------------------------
Work Tel No. -----------------------------------------------Mobile No.:-------------------------------------
SIBLING INFORMATION:
------------------------------------
Names
and ages of brothers:
Names and ages of sisters:
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Does the child live with his/her parents?
Yes No
Other people living in your house?
Name: ----------------------------------------------------------
Relation to your child---------------------
Please list names and relation of the people who have permission to pick up your child from school
and we can call in case of emergency:
1-Name: ---------------------------------------------
Relation ship: -------------------------------
Work Tel No: -------------------------- house Tel No: -------------------------Mobile
No: -----------------
2- Name: ---------------------------------------------------------Relation ship:
----------------------------
Work Tel No: ---------------------------House Tel No: -------------------------Mobile
No: ----------------
3- Name: ---------------------------------------------------------Relation ship:
---------------------------------Work Tel No: ---------------------------House Tel No: -------------------------Mobile No:
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SCHOOL HISTORY : ( please list recent school first)
Class (grade) last attended…………………………
Class
(grade) to be join……………………………..
Reason
or leaving previous school-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GRADE |
SCHOOL YEAR |
NAME OF SCHOOL |
CITY |
CURRICULUM American/British |
1- |
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2- |
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3- |
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4- |
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Extra Curricular Activities: ---------------------------------------------------------------------------------
Educational History
Describe your child:
1-As a student---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2- Has your son / daughter ever been recommended or evaluated in or out of school for problems? Yes
No if yes, please include details and specific testing information to further assist us.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
3- Has your son /daughter ever received special education testing or an educational evaluation for academic
problems? Yes ----------- No---------- if yes, please explain
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
4-Has you son / daughter ever been placed in a special education program? Yes--------No------- if yes please
explain:
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5- Has your son / daughter ever experienced behavior problem that had on adverse affect on educational
their performance? If yes, please describe these behaviors problems:
6- Has your son / daughter ever received any of the following services:
* Reading improvement (Remedial)
yes no
* Speech therapy
yes no
* Language therapy
yes no
* Physical therapy
yes no
* Occupational therapy
yes no
* Counseling services (regular)
yes no
* Psychological testing or service
yes no
7- Does your son / daughter have any physical handicaps? Yes----- No---if yes, please describe the condition--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
8- Does your son / daughter have any visual or hearing problem? Yes------- No------- if yes, describe
the condition-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
9- Has your son / daughter ever repeated a grade? Yes------No------if yes, please indicate grade level and
a brief explanation:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10- Does anyone have trouble understanding your child’s speech? Yes------ No -------------------------------------------------------------------------------------------------------------------------------------
Personal / Social Development:
Please describe your child’s temperament / personality:
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
How
does your child react when he/she is?
Happy? _________________________________________________________________________
Sad? ____________________________________________________________________________
Tired? ___________________________________________________________________________
Fustrated?
_______________________________________________________________________
Exited? __________________________________________________________________________
Is there any thing else you’d like us to know about your child? Yes------- No-------if Yes please
explain:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Parent’s Signature
Date
_________________
_______________
P.O. Box: 24176 - Muharraq –Bahrain
Tel.: +973 17243855
Fax:
+973 17243844
Thank you for taking the time to complete the application form. We look forward to an enjoyable
academic year with your child!
To complete your registration process please submit the original & copies of the following:
- 4 recent photograph of the student.
- A copy of the student’s birth certificate and vaccination record.
- A photocopy of the father’s CPR.
- A photocopy of the student’s CPR.
- A photocopy of the student’s passport with residency page (none Bahraini).
- A copy of the last two years & recent school report (Where applicable)
+ school transcripts.
- Transfer certificate from the last school (where applicable).
- A health file either transferred from the last school, or a new one opened.
SERVICES:
Transportation: Does your child need transportation? Yes ________No________ if yes, please complete
the transportation application.
Enrollment is limited. Please return your complete application as soon as possible to the school’s
main office. Only completed applications will be considered for admission.
Please inform the school’s office
of any changes as soon as they occur.
I the Father/ Mother / Guardian: _______________________________________________
Certify that all the above are true to the best of my knowledge and belief and accept full responsibility
if any error has been made.
If my above named son/ daughter is accepted in the Creativity Private School I agree to pay the tuition
fees either for the whole year or for the first term as soon as I am notified of his/her acceptance and all further charges
when they are due.
I understand that enrollment is for the entire school year and that tuition fees are payable in advance
according to the school’s regulations and that no refund of tuition fees is possible in case of temporary absence if
my son/daughter is dismissed from the school.
Note: Term fees will not be returned and must be paid in full no matter what date the student joins
or leaves school.
________________________________
____________________
Signature of Father / Guardian
Date
P.O. Box: 24176 - Muharraq – Bahrain
Tel.: +973 17243855
Fax:
+973 17243844