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KHÓA HỌC
KHÓA HỌC TRUNG HỌC PHỔ THÔNG MỸ
KHÓA HỌC AP / TÍN CHỈ AP RIÊNG LẺ
KHÓA HỌC 1-1
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STUDENT APPLICATION FORM
Student Information
First Name
Family Name
English Name
Date of Birth
Applicant Photo
Gender
Male
Female
Place of Birth
Nationality
Passport/ID Number
Religion
Phone No.
Email Address
Home Address
Student Registration Information
Grade applying for (9 to 12)
Select Grade
Grade 9
Grade 10
Grade 11
Grade 12
Season applying for
One Course
One Academic Year
Other, please specify:
Student Academic Profile of Last Two Years
School Name
Location
Dates attended
Grade level attended
Language(s) of Instruction
Curriculum
Upload Study Records (Max 10 files, PDF/Word/Image files accepted)
Choose files...
You can upload up to 10 files (report cards, transcripts, etc.)
Uploaded Files:
Has your child received any offer from English speaking country? If yes, please include the offer documents in the application. (Only applies to students who have never studied in an English-speaking country)
Yes
No
Offer Document Upload
Please upload the offer document (PDF, Word or Image files accepted)
Has your child ever been expelled or suspended from school? If "yes", why?
Yes
No
Has your child ever repeated a grade?
Yes
No
Has your child ever been disciplined by any institution for plagiarism or cheating?
Yes
No
Does your child have any physical or medical conditions impacting attendance or participation in lessons?
Yes
No
Does your child require any daily medications for their well-being?
Yes
No
Emergency Contact Information
Name
Relationship
Home No.
Mobile Phone No.
Parents / Legal Guardian Information
Mother's Name
Father's Name
Mother's Nationality
Father's Nationality
Mother's Phone No.
Father's Phone No.
Mother's Email
Father's Email
Mother's Education
Father's Education
Mother's Position
Father's Position
Mother's Employer
Father's Employer
Mother's Company Tel
Father's Company Tel
Sibling Information
Name
Date of Birth
Gender
Current School
Current Grade
Has a sibling applied for SMOA?
Select
Male
Female
Select
Yes
No
Select
Male
Female
Select
Yes
No
Agreement
The Parent / legal Guardian's signature below constitutes agreement with the following:
ATTENDANCE: The parent / legal guardian agrees to the principle that the child must regularly attend the online school.
POLICIES: The parent / legal guardian and student will abide by all the school's rules, procedures and policies that are included in the Parent Handbook. These procedures and policies are subject to change without notice. All policies and procedures are available through our official website.
The parent / legal guardian gives permission to the school to photograph / film my child for any SMOA publications. I will not hold the school or its staff responsible should there be any misuse of photos or films, which is beyond the jurisdiction of the school or its staff.
I agree to the above terms and conditions
Parent / Guardian Signature
Date
Submit Application
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