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ESOL Application

 
 

Thank you for taking the time to fill out this form.  Any information you can supply will help us to assist your child's learning.

Family Name:
Legal Name:
Gender:
Male
Female
Preferred name to be used at school:
Home Address:
Mobile:
Date of Birth:
Religion (optional):
Ethnicity:
Country of Birth:
Last Country of Residence:
Date of arrival in New Zealand:
Expected length of stay in New Zealand:
Classification

Previous Education

Name of School:
Country:
Length of time at school:
Language used at school:
Language used at home:
Can s/he read in her own language?
Can s/he write in her own language?
Has your child learnt English before arrival?
Yes
If yes, where has s/he learnt English?
School
Private Tutor
Language School

Parents Information

Mother's name:
Mother's country of birth:
Can mother speak English at all?
Can mother read English at all?
Father's country of birth:
Can father speak English at all?
Can father read English at all?
Who lives with your child in New Zealand?
Tell us more about your child and his/her interests.