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Part I: Personal Information

Passport Name

Address in Beijing

Part II: Language Background

As a parent, on the spectrum of 1 to 5, how would you assess your child’s Chinese ability in the four areas below.

Parent/Guardian Information
Parent/Guardian Information

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Sibling Information

Only list those under 18 years.

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Education History
Previous Schools

Dates Attended

US, UK, others.

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Billing Information

If you need a fapiao for tuition reimbursement, please record company information.

Company Address

(If School Bus is needed, please attach Bus Application Form. No busing is provided for Pre-K3 students.)

1. My child is expected to cooperate with HIS staff and support the school rules and regulations as stipulated in the Parent / Student Handbook.

2. My child is allowed to receive instruction in faith-based ethics and values while he/she is studying in HIS. He/She is expected to participate in the full program of the HIS curriculum.

3. Students, while at school, when boarding the HIS school bus to and from their homes or on organized field trips, are supervised by staff members and/or other responsible adults who will exercise all reasonable caution. Should an accident occur, the school’s liability will not exceed the amount stated in the school insurance policy.

4. Tuition and fees are payable in accordance with the tuition/fee schedule for the year enrolled. Attendance privileges may be suspended or progress reports withheld if all tuition fees and other payments have not been made on time.

5. It is the responsibility of parents to ensure that students are covered by a comprehensive medical insurance policy during their time in HIS.

6. Permission is granted to HIS to use the student’s photos in print or digital format on the school material, as well as on its websites.

7. Parents are responsible for obtaining visas, resident permit and other legally required documentation.

8. All documents provided to HIS are without omissions or falsification. In the event that the information provided has been deliberately falsified or omitted, HIS reserves the right to expel, at any time, an enrolled student.

9. I authorize HIS to contact this applicant’s former school(s) for the purpose of obtaining and/or verifying student records.

Date: Apr 06, 2020
Date: Apr 06, 2020
Referral Information
Student Medical Form
Immunization Record
Required Vaccines

TB: Vaccine (BCG)

TB: Test (PPD/Mantoux)
Within one year prior to admission.

Polio: Oral (OPV)
2,4,6,18 months, 4-6 yrs old.

Polio: Inactivated (IPV)
2,4,6,18 months, 4-6 yrs old.

Diphtheria, Tetanus, Pertussis (DTP, DTaP)
2,4,6,18 months, 4-6 yrs old.

Measles / Mumps / Rubella (MMR)
15 months, 4-6 yrs old.

Hepatitis B
Birth, 2,12 months old.

Recommended Vaccines

Varicella (Chickenpox): Vaccine
12-15 months, 4-6 yrs old.

Tetanus, Diphtheria, Pertussis or Tetanus Booster (Tdap, Td)
After age 10.

Hepatitus A
2 doses.

Japanese Encephalitis
2 doses.

3 doses.