Gender (Male/Female): Date of Birth (Dd/Mm/Yy)

To apply for an A Level scholarship, please complete this application form and return it to [email protected] or by post to the Admissions Manager at the above address.

SURNAME: FIRST NAME:

Gender (Male/Female): Date of Birth (dd/mm/yy): Address: Email: Phone:

Current School Details Name:

Address: Name, position and contact details for teacher/director for reference:

When did you start this school (mm/yy): Current year/grade:

Family Details Father’s Name: Occupation and Employer: Mother’s Name: Occupation and Employer: Names and ages of any brothers/sisters:

Father’s annual salary before stoppages: Mother’s annual salary before stoppages: Other annual household income: Scholarship applied for (25%, 50%, 75%, 100%):

If you are successful in your scholarship application, you will be required to provide documents to substantiate the financial information given above.

Súkromná spojená škola Cambridge International School web: www.cambridgeschool.eu e-mail: [email protected] tel: +421 907 150 643 Below, explain in clear English why you believe you are worthy of a scholarship place at CIS (by hand).

A very high level of English is not required for a scholarship but a good level is; also a strong school record is essential. Please provide evidence from your current school that you are a strong student. This could be a copy of your latest Vysvedčenie or a reference letter from a teacher.

Signature of applicant:

Signatures of parents:

This completed application form along with evidence of academic standing must be posted or scanned and emailed back to the school.

Súkromná spojená škola Cambridge International School web: www.cambridgeschool.eu e-mail: [email protected] tel: +421 907 150 643