2016AdmissionApplicationForm.pdf

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1、!"#$%%$&'!))*$+!,$&'(-&.#2016ADMISSIONAPPLICATIONFORMInstruction:ThisisapartoftheapplicationpacketbeingusedbyallschoolsparticipatingintheEduBostonprogram.PleasecarefullyandlegiblycompletethisformandsubmitittoEduBoston,LLC.*Theinformationisrequired.GENERALINFORMATIONAPPLICANTINFORMATION*Gi

2、venName____________________*FamilyName_____________________EnglishName_______________*HomeAddress____________________________________________________________________________*City________________*State/Province_______________*Country_______________*PostalCode__________MaleFemale*Age______*

3、DateofBirth_____________________*CountryofBirth______________*CountryofCitizenship_________________________*WeChatID___________________*E-MailAddress____________________________________*SkypeID-forinterview_____________________*HomePhone(includecountry,cityandareacodes)___________________

4、____________________________CellPhone(includecountry,cityandareacodes)__________________________________________________*Month/YearofProposedEntrance_____________________*CurrentGrade_____*ApplyingforGrade______FAMILYINFORMATIONFather/Guardian1*GivenName___________________________________

5、_*FamilyName_________________________________Occupation__________________________________NameofCompany________________________________*HomeAddress______________________________________________________________________________1IniialADMISSION(APPLICATION(FORM(*BusinessTelephone(includecount

6、ry,cityandareacode)_____________________________________________*HomeTelephone(includecountry,cityandareascodes)______________________________________________*CellPhone(includecountry,cityandareacodes)____________________________________________________*E-MailAddress______________________

7、__________________________*WeChatID____________________Mother/Guardian2*GivenName____________________________________*FamilyName_________________________________Occupation__________________________________NameofCompany________________________________*HomeAddress____