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

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

<p> 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.</p><p>SURNAME: FIRST NAME: </p><p>Gender (Male/Female): Date of Birth (dd/mm/yy): Address: Email: Phone: </p><p>Current School Details Name: </p><p>Address: Name, position and contact details for teacher/director for reference: </p><p>When did you start this school (mm/yy): Current year/grade: </p><p>Family Details Father’s Name: Occupation and Employer: Mother’s Name: Occupation and Employer: Names and ages of any brothers/sisters: </p><p>Father’s annual salary before stoppages: Mother’s annual salary before stoppages: Other annual household income: Scholarship applied for (25%, 50%, 75%, 100%): </p><p>If you are successful in your scholarship application, you will be required to provide documents to substantiate the financial information given above.</p><p>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). </p><p>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.</p><p>Signature of applicant: </p><p>Signatures of parents: </p><p>This completed application form along with evidence of academic standing must be posted or scanned and emailed back to the school. </p><p>Súkromná spojená škola Cambridge International School web: www.cambridgeschool.eu e-mail: [email protected] tel: +421 907 150 643</p>

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