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入学信息收集表
Admission Information Form
Please submit all documents in English OR Chinese using one language only所有文件请用中文或英文填写(请如实并完整填写)

Student's Personal Information 学生个人信息*
Chinese Name 中文姓名 Surname姓
Given Name名
Pin Yin 中文拼音 Surname姓
Given Name名
English Name 英文姓名 Birth Date(YY/MM/DD) 出生日期(年/月/日)    
Gender性别 Boy男孩 Girl女孩 Citizenship国籍
ID No. (Chinese mainland student only)
身份证号(限中国大陆学生):
Passport No.护照号码

Household Register Address(Chinese mainland student only)
户籍地址:(仅限中国大陆学生)

Residential Address and Postcode
常驻地址及邮编(例:XX区XX路XX弄XX号XX室,邮编:XX)
Compound Name小区名称:
Home Tel 家庭电话    
Grade applied for 计划申请年级 Date of expected entry(YY/MM) 计划入学日期(年/月)  
Will you be a 5-day boarder or not should you apply for Year 7 or above?
如申请7年级及以上年级,是否需要申请住宿(周一至周五)?
Yes 是
No 否
Do you need school bus service? 是否需要校车服务? * Yes 是    If the pick-up and drop-off place is different from the above residential address, please specify 如果接领地址与上述常驻地址不同,请注明:
No 否
Previous Kindergarten's Name
曾就读幼儿园名称:
Address 地址:
Time period (YYYY/MM)
就读时间:
 -  Main Teaching Language(Multiple Choice):
主要教学语言:(多选)
Chinese 中文 English 英文
Others 其他:
Previous School's Name
曾就读学校名称:
Address 地址:
Time period (YYYY/MM)
就读时间:
 -  Main Teaching Language(Multiple Choice):
主要教学语言:(多选)
Chinese 中文 English 英文
Others 其他:
Native Language(s)第一语言 Second Language(s)第二语言
Does the applicant have any special educational needs or behaviourial problems?
申请人是否有其他特别教育需求或行为问题?*
Yes 是   If yes, please explain 如果是,请说明解释:
No 否

提示:Note:The school may not be able to support children with certain special medical or educational needs. 注意:学校可能无法支持特殊医疗或教育需求的学生。
Does the applicant have any allergies or medical conditions of which we should be aware?
申请人有食物过敏或其他健康状况需要特殊照顾吗?*
Yes 是   If yes, please provide us with further information, e.g., allergy to (drugs, vaccines, food ...) .如果有,请给我们更多详情 ,如:过敏信息(药物,疫苗,食物...)等
No 否

Additional medical information 附加医疗信息

Should a situation arise where emergency medical attention is required, school will call parents at the first moment. If we are unable to contact parents, please indicate the hospital or clinic you want your child taken to for treatment. If no hospital is designated by you, the school will decide on the most appropriate hospital according to the nature of the emergency. If the emergency requires treatment that is not available at the hospital you have designated, your child will be taken to a hospital that can provide such treatment. Parents will be responsible for any costs or fees incurred.
如果学生在校因意外或紧急情况需要就医,学校将在第一时间与家长联系。若无法联络到家长,学校将根据当时的实际情况将孩子送往家长指定的医院或最合适的医院(若您指定的医院没有紧急情况所需要的治疗条件)。请注明您希望将孩子送至哪家医院或诊所进行治疗,若您未指定任何医院,学校将根据实际情况送孩子就医。医疗费用将由家长承担。

Name of Clinic / Hospital 诊所/医院名称: Address 地址:
School suggests parents buy medical and accident insurance for your children. For those families who have already bought insurance, please submit Insurance Company name and Member ID to school.
学校建议家长为孩子购买医疗及意外保险。如已购买保险的家庭,请提供以下信息以便发生紧急情况就医时使用:
Name of Insurance Company 保险公司名称: Member ID 保险卡号:
Does the applicant have any special abilities or hobbies?
申请人是否有某些特别技能或爱好?*
Yes 是   If yes, please explain 如果是,请说明解释:
No 否
Has the applicant ever represented his/her school or other organization in sports, music, games, etc.?
申请人是否代表学校或其他机构参加过体育,音乐,游戏等活动?*
Yes 是   If yes, please explain 如果是,请说明解释:
No 否
Parent Information 学生家庭信息*
  Father/Guardian
父亲/监护人
Mother/Guardian
母亲/监护人
Name姓名 Surname姓
Given Name名
Surname姓
Given Name名
Pin Yin 中文拼音 Surname姓
Given Name名
Surname姓
Given Name名
Nationality国籍
Native Language(s)第一语言
Second Language(s)第二语言
Educational level attained最高学历
Company公司
Position职位
Business Tel办公室电话
Mobile手机号码
Email电子邮件
请确保填写正确,我们会给该邮箱即时发送提交成功确认邮件!
Either father or mother holds registered permanent residence in Ningbo父亲/母亲一方是宁波户籍
Either father or mother holds valid Ningbo residence permit父亲/母亲一方持有效的《宁波市居住证》
Either father or mother holds temporary residence permit in Ningbo for 3 years父亲/母亲一方持有效的《宁波临时居住证》满3年
Either father or mother holds temporary residence permit in Ningbo for less than 3 years父亲/母亲一方持有效的《宁波临时居住证》未满3年
Either father or mother has no temporary residence permit in Ningbo父亲/母亲无《宁波临时居住证》
Applicant lives with Who 申请人与谁居住*:

If the applicant lives with a guardian, the parents are requested to sign a letter of authorization, and the personal details of the guardian should be given to us for filling.
如果申请人与父母亲以外的监护人居住在一起,请父母亲给我们提供签字授权书和监护人详情。
The first contact person of Main Family 家庭第一联系人: The second contact person of Main Family 家庭第二联系人:
Does the applicant have any brothers or sisters who are currently attending Ningbo HD Bilingual School, or who you intend will apply to Ningbo HD Bilingual School in future? Please specify:
是否有兄弟姐妹考虑申请或就读宁波赫德实验学校,如果有,请注明*
Yes 是   If yes, please specify 如果有,请注明:
No 否
What are the main reasons to apply Ningbo HD School? 申请就读赫德的最主要原因(多选)*
HD's education philosophy对学校教育理念的认可
Reputation in friends' circle朋友圈中的良好口碑
A headmaster with high reputation and experienced teachers 有名望的校长和经验丰富的师资团队
Belief in bilingual education system对双语教育的认可
Strong academic background of HD's counsellors学术背景深厚的海外学校升学指导团队
High standard of facilities对学校的设施非常满意
Others其它,请注明:
How did you learn about Ningbo HD School? 您最初是如何了解到赫德学校的?(单选)*
HD students' parents赫德家长推荐
Referral朋友推荐(非赫德家长)
Referral from kindergarten/school teacher 幼儿园或学校老师推荐
Internet 互联网搜索
School website 学校网站
School WeChat 学校官方微信
WeChat 微信公众号(非赫德官方微信)
Events 赫德活动(如:开放日、说明会)
Fair行业展会(如:教育展)
Partners渠道合作(如:银行)
Print AD 杂志报纸广告
Others(Pls specify:)其它,请注明:

Parent Agreement 家长声明

In signing this agreement, I give Ningbo HD School permission to contact the applicant's previous schools should additional information be required to support this application. I agree to abide by the admissions procedures of Ningbo HD School. I certify that the information given on this form is full and complete to the best of my knowledge and understand that, if I fail to provide accurate details of important information about the applicant, Ningbo HD School reserves the right to restrict entry into or withdraw the applicant's place from the School. We/I agree to official photographs of, or quotes attributed to, my son/daughter appearing in promotional material for Ningbo HD School.
本人签署该申请表,准许宁波赫德实验学校在必要的情况下从申请人以前就读的学校获取相关信息。本人同意遵守宁波赫德实验学校的入学程序并保证申请表中信息完整无误。如本人未真实提供申请人的重要信息,宁波赫德实验学校有权限制入学或退学。本人也同意我儿子/女儿的照片肖像可能出现在宁波赫德实验学校的招生宣传材料中。

For the convenience of making school access cards for students and parents, could you please upload your photos, the requirement is as follows: recent bareheaded full-faced photo, standard size: 272x354, resolution ratio≥300DPI, base color: light blue.
为方便学校制作学生卡及家长卡(入校门禁使用),请家长上传学生、父、母照片。(要求:·近期标准免冠报名照片;照片尺寸须为272x354像素(px)的标准尺寸,分辨率300DPI以上;照片底色为淡蓝色)

Please name the image files using the format below when you upload:
请按以下格式命名照片:

Student's photo: Student's full name Casa/Prep/G1/G2/G3 (or others).e.g.: “Ada Casa”
学生的照片:学生全名Casa/Prep/G1/G2/G3(以此类推)。例:“田雨橙Casa”

Parents' photo: Student's full name Casa/Prep/G1/G2/G3Dad/Mum full name. e.g.: “Ada Casa Dad Tony “or “Ada Casa Mum Linda”
家长的照片:学生全名Casa/Prep/G1/G2/G3父/母全名。 例:“田雨橙Casa父田亮”或“田雨橙Casa母叶一茜”

上传学生照片
点击上传学生照片
Click to Upload student's photo
上传父亲照片
点击上传父亲照片
Click to Upload Dad's photo
上传母亲照片
点击上传母亲照片
Click to Upload Mum's photo
 
*验证码: 看不清?点击更换 看不清?