APPLICATION FOR ADMISSION - DOCUMENT CHECKLIST · APPLICATION FOR ADMISSION - DOCUMENT CHECKLIST Please submit the following documents to the Admissions Department: 1. Completed Application

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APPLICATION FOR ADMISSION - DOCUMENT CHECKLIST

Please submit the following documents to the Admissions Department:

1. Completed Application for Admission Form

2. Completed Medical Information Record

3. Completed Confidential Student Reference Form by an English teacher

(Please ask his/her teacher to scan and email the letter to

[email protected])

4. Copies of the student’s reports for the past two years

5. Copies of the student’s passport photograph page

6. Copies of both parents’ passport photograph page

7. Copies of the whole family members’ visa/permit page (for international

families only)

8. One passport size photograph of the student

9. Non refundable application fee of RMB 3500（Please supply proof of

payment detailing the student’s name and the year group applied for. Once

proof of payment has been received students will be placed on a waiting

list to begin the admissions process. The admissions process will take

place based on the date that all documentation, including the proof of

payment, has been received.）

Account Details

RMB payment only:

Completed documents should be sent to the following address:

Admissions Office, Harrow Beijing ，No. 287, Hegezhuang Village, Cuigezhuang

County, Chao Yang District. Beijing, China 100102

Telephone: +86 -10 – 6444 8900

北京市朝阳区崔各庄乡何各庄村 287号北京哈罗招生办收， 100102

Bank name: Heng Seng Bank Beijing Branch 恒生银行（中国）有限公司北京分行 Account name: Harrow International School Beijing 北京哈罗英国学校 Account No.: 531031680020

mailto:[email protected]

Age Guide (申请年级对照表)

Harrow Beijing

School

Section

Year Group

(Grade) Age

Birth Date for Academic

2017-2018 Entry

Lower School

Early Years

Pre- Nursery 2 to 3 1 Sep 2014 - 31 Aug 2015

Nursery 3 to 4 1 Sep 2013 - 31 Aug 2014

Reception 4 to 5 1 Sep 2012 - 31 Aug 2013

Pre-Prep

Year 1 5 to 6 1 Sep 2011 - 31 Aug 2012

Year 2 (Grade 1) 6 to 7 1 Sep 2010 - 31 Aug 2011




Upper School

Prep Phase




Senior School



Year 11 Grade 10) 15 to 16 1 Sep 2001 - 31 Aug 2002

Sixth Form Year 12 (Grade 11) 16 to 17 1 Sep 2000 - 31 Aug 2001


Harrow Beijing

School

Section

Year Group

(Grade) Age

Birth Date for Academic

2018-2019 Entry

Lower School

Early Years

Pre- Nursery 2 to 3 1 Sep 2015 - 31 Aug 2016

Nursery 3 to 4 1 Sep 2014 - 31 Aug 2015

Reception 4 to 5 1 Sep 2013 - 31 Aug 2014

Pre-Prep

Year 1 5 to 6 1 Sep 2012 - 31 Aug 2013





Upper School

Prep Phase




Senior School



Year 11 Grade 10) 15 to 16 1 Sep 2002 - 31 Aug 2003

Sixth Form Year 12 (Grade 11) 16 to 17 1 Sep 2001 - 31 Aug 2002


Application FormHarrow Beijing

Child’s Photo

Child’s Full Name

Preferred Name

Date of Birth

Nationality

Home Address

Name

Nationality

Employer

Position

Business Address

Business Telephone

Mobile

Email

Invoice to

Family Name(As it appears in the Passport) Given Name

Day Month YearGender M F

Family Name Given Name Family Name Given Name

Parent/Guardian Information

Father/Guardian Mother/Guardian

Residential Accommodation (Only available for Year 6 to Year 13 students)

Father Mother

Weekly (6 Days) Full (7 Days)

School Bus Needed Please know that we provide bus service from Reception to Year 13 and require at least four students per vehicle.

Weekly (5 Days)

Admissions Office Use Only

Entry Date:

Entry Year Group:

Sibiling

IS PS TS

Medical Form

School Reports

Reference Form

Student’s Passport

Parents’ Passport

School Agreement

ISAMS

Offer

Roll

Invoice

Child’s Academic Background

Family’s Language Profile

School Name

Has your child ever been placed out of his/her standard age year group?

Has your child ever attended any tuition center?

Please indicate your child’s Favourite subject(s)

Child’s First Language Other Languages

Other Languages

Other Languages

Most successful subject(s)

Mother’s First Language

Weakest subject(s)

Father’s First Language

Has your child ever attended special classes or received any special awards because of an exceptional talent?

Has your child ever been seen by an Educational Psychologist/Psychiatrist/other Specialist for any learning, social, emotional or behaviour issues?

Location Dates Attended School Years Language of Instruction( from – to )

Y

Y

Y

Y

N

N

N

N

If yes, please give details.



If yes, please give details and include any reports.

If the child’s first language is not English what is your assessment of his/her English proficiency:

Languages spoken at home

How long has your child been learning English?

What foreign language does your child learn at school?

English Skill Areas

Assessment of Proficiency

Advanced Upper Intermediate Intermediate Pre-intermediate Beginner

Speaking

Listening

Reading

Writing

Medical Information

Other Information

We would appreciate any information that might be relevant to your child’s performance and well-being at school. If your answer to the following questions is “Yes” please give details.

Does your child have any health issues that we should know, including medical condition(s)/regular medication/allergies/any physical disabili-ty?

Y N


Does your child have any special dietary requirements? Y N


Sibling’s Name Gender Date of birth Current School Applying for Harrow ( Day/Month/Year )

Y

Y

Y

N

N

N

How long does your family expect to stay in Beijing?

What special holidays do you celebrate at home?

Why have you chosen Harrow Beijing for your child?

Where did you first hear about Harrow Beijing?

Harrow WechatWebsite

Magazine Event Other

Friend Harrow Parent Harrow Staff

please specify please specify please specify

PLEASE NOTE THE FOLLOWING BEFORE SIGNING THIS APPLICATION

The signature of the parent or guardian on this application for admission implies an acceptance of all the School’s terms and conditions and constitutes agreement with the following information:

I/We agree to be bound by the resolutions and regulations made by Harrow Beijing and give the permission for photographs of my/our child to be used in the school’s promotional literature and social media.

I/We understand that if accepted the student will remain enrolled in the Harrow Beijing and if circumstances are such that this contract has to be terminated, I/we agree to give a full term’s written notice to the Head Master or one term’s fees in lieu of such notice.

I/We understand that students take educational outings, field trips and other educational activities arranged and supervised by the Harrow Beijing staff and other responsible adults who will exercise all reasonable caution. Though, I/we agree that Harrow Beijing and its members cannot accept any liability for accidents either en route or at the activity itself.

I/We understand that Harrow Beijing reserves the right to terminate this Contract should the student not comply with its rules or is unable to benefit from the education that it offers.

I/We understand that I am/we are liable for payment of all applicable fees as stated in the present Harrow Beijing fee structure.

I/We wish my/our son/daughter __________________________________ to be considered for entry to Harrow Beijing starting from ________ (month) _______ (year). I/We enclose a check to cover the Application Fee of RMB 3500. I/We understand that this fee is non-refundable.

Declaration: The information provided on this application is accurate and to the best of my knowledge no information has been withheld. I understand that failure to disclose relevant information may lead to the withdrawal of an offer of admission or the exclusion of the student from the School at any future date. I have read and I accept the School’s terms and conditions.

Signature of Parent(s)/Guardian Date (dd/mm/yy)

To Adimssions, Harrow Beijing, No. 287, Hegezhuang, Cuigezhuang County, Chao Yang District, Beijing, China 100102 Phone: (86 10) 6444 8900

哈罗北京招生办北京市朝阳区崔各庄乡何各庄村287号邮编： 100102 电话：(86 10) 6444 8900

For the student who is holding chinese passport,please fill in the following information in chinese.

学生户籍所在地市区

父亲户籍所在地市区

母亲户籍所在地市区

6到14岁学生，请注明学籍所在学校名称

EMERGENCY CONTACT AND CONSENT FORM

Student Name: ____________________ _____________________ ____________________ Surname First Name Preferred Name

Date of Birth:____/____/____ Year Group:____ Tutor/Teacher:____ Male Female

EMERGENCY CONTACT INFORMATION:

Parent/ Guardian #1 Name:

Mobile number:

Work/Additional Phone: Home Telephone:

Parent/ Guardian # 2 Name:

Mobile number:

Work/Additional Phone: Home Telephone:

Preferred Hospital Name:

Telephone Number:

Address:

Insurance Provider:

Insurance Policy #

Telephone Number:

I/We understand that in the event of an emergency or critical incident every effort will be made

to contact parents and that my/our child will be taken to a suitable hospital for treatment. I

authorise members of the supervisory staff to approve such essential medical treatment for my

child, as is deemed necessary, in an emergency or as a result of a critical incident, on the

advice of a qualified medical practitioner. In such an event, I/we shall be liable for any costs

incurred for the treatment.

Parent/Guardian Name (print): ___________________________________________________

Parent/Guardian Signature: ____________________________ Date: ____________________

Medical Information Record

Student Name: ________________ ____________________ __________________ Surname First name Preferred name

Date of Birth: _____/ _____/ _____ Year Group: _______ Tutor Group: ________ (date) (month) (year)

Student’s Medical Information to be completed by parent/guardian

Does your child have any medical condition or disability? Yes No

If yes please give further supportive information.

__________________________________________________________________________________

__________________________________________________________________________________

Does your child take regular medication? Yes No

If yes what medicine is your child taking? ________________________________________________

How often? _____________________ What is it for? ____________________________

Does your child have any known allergies? Yes No

What is the cause of the allergy? ________________________________________________________

Describe the reaction and what is done to manage it:

__________________________________________________________________________________

__________________________________________________________________________________

Does your child have any known dietary requirements? Yes No

If yes what are the dietary requirements? ________________________________________________

_________________________________________________________________________________

Does you child wear glasses Yes No

If yes please give details to include when do they wear them, and what are the reasons for wearing them:

____________________________________________________________________________________

____________________________________________________________________________________

Signature Parent/Guardian: _________________________ Date: _________________

Student Immunisation Record

Tick any problems that you child has currently or previously had:

Asthma (please state triggers) Heart

Anaemia Hospitalised (operations)

Arthritis Lung disease

Behavioural and Emotional Seizures

Cancer Eczema

Diabetes Speech/Hearing difficulties

Vision problems

Other ____________________________________________________________________________

If any of the above please give details including dates:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

In the day to day care, should your child complain of minor pain or illness whilst at school,

would you be willing for the school nurse to administer medicines from the school’s safe medicine

list, in accordance with the school policy:

Yes _____ No _____

If prescribed medication is to be administered whilst at school then the parental agreement form to

administer prescribed medication needs to be completed and brought in with the medication.

Is there anything else you would like us to know about your child’s health and wellbeing? Please use

separate sheet if required.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Tick any contagious diseases your child has had, please include age:

Chicken pox __________________________ Mumps __________________________

Diphtheria __________________________ Pneumonia ________________________

German measles _______________________ Poliomyelitis ______________________

Hand, foot and mouth ____________________ Scarlet Fever ______________________

Measles _____________________________ Whooping cough ___________________

Student Immunisation Record 学生疫苗接种记录

Student Name 学生姓名：______________ _________________ _______________ 姓 Surname 名 First Name 常用名 Preferred Name

PLEASE STATE THE COUNTRY’S VACCINATION SCHEDULE YOU

ARE FOLLOWING _________________________________________.

（请注明您是按照哪个国家地区的免疫规划进行的接种）

Parent/Guardian Signature 家长/监护人签名: Date 日期:

Vaccination 疫苗 Date

日期 1st

Date

日期

Date

日期

Date

日期

Date

日期

Diphtheria Tetanus, Pertussis (DTaP)百白破疫苗

Rotavirus 口服轮状病毒疫苗

Hepatitis A 甲肝疫苗

Hepatitis B 乙肝疫苗

Japanese Encephalitis 乙脑疫苗

Meningitis A A 群流脑疫苗

MMR (Measles. Mumps and Rubella)麻腮风疫苗

MR (Measles, Rubella)麻风二联疫苗

Haemophilus inluenzae type b (HIB)b 型流感嗜血

杆菌疫苗

Inactivated Polio Virus (IPV)灭活脊髓灰质炎疫苗

TD (Tetanus and Diphtheria)白破疫苗

Meningitis A and C A+C 流脑疫苗

Tuberculosis (BCG)卡介苗

Varicella 水痘疫苗

Other 其他

Documents

APPLICATION FOR ADMISSION - DOCUMENT CHECKLIST · APPLICATION FOR ADMISSION - DOCUMENT CHECKLIST Please submit the following documents to the Admissions Department: 1. Completed Application