Online Admission - Uptown High School

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"Education is not preparation for life; education is life itself."
John Dewey
1859 – 1952

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UPTOWN HIGH - APPLICATION FOR ADMISSION

Student Information
Gender
Family Name	First Name	Middle Name(s)
Preferred Name	Date of Birth	Age on 31 Dec (of year of entry) (y/m)
Place of Birth (Country)	Place Passport Issued	Nationality (as in Passport)
Date of Passport Issued	Passport Expiry Date	Religion *
Main Language	Second Language	Other Language(s)
Please choose third language subject (tick): French German
Last grade completed	Last Day at previous school and country	Curriculum (British, IB, American, etc)

Family Information
Family Name	First Name	Nationality as in Passport
Mobile No	Employed by	Profession/Occupation
Office Tel No	Office Fax No
Email 1	Email 2
Local Home Address (House Number, Street Name, Suburb, i.e. Mirdif)
PO Box	City (Emirates)	Home Tel

Mother/Female Guardian
Family Name	First Name	Nationality as in Passport
Mobile No	Employed by	Profession/Occupation
Office Tel No	Office Fax No
Email 1	Email 2
Local Home Address (House Number, Street Name, Suburb, i.e. Mirdif)
PO Box	City	Home Tel

Emergency Information
Family Name		Last Name
Relationship to Child		Mobile No	Home Tel No

Billing Information
Employers Name	Email Address	Contact No:
Employers Address

Previous School Record
Name of School	City/Country	From M/Y	To M/Y	Yr/Grade Level Completed




Has your child received any kind of learning or behaviour support and/or experienced any learning difficulties? Yes No
If so, please provide details below (i.e. speech therapy, duration etc.) and provide copies if reports from the therapist if available.
Is your child taking any medication to assist with learning difficulties? Yes No

To which other schools have you applied?

If a bus service* is available, would you require it for your child? Yes No

Siblings
Name(s)	Age	Country	YR/Grade Level of current school





I give permission for photographs of my child and myself to be taken for marketing purposes.: Yes No
In order to proceed, you must agree with the following terms and conditions:

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