Application - Gloryland Nursery & Primary School

Step 1: Student Information

Student's Full Legal Name *

Date Of Birth *

Gender *

Place Of Birth *

Nationality / Citizenship *

Student ID (if transferring)

Photo Upload *

Upload a clear passport photograph

Step 2: Contact Information

Home Address *

City / State / ZIP code *

Primary Phone Number *

Secondary Phone Number (Optional)

Student Email (if applicable)

Step 3: Parent / Guardian Information

Full Name *

Relationship To Student *

Phone Number *

Email Address *

Home Address (if different)

Preferred Method Of Contact *

Step 4: Emergency Contacts

Emergency Contact Name *

Relationship To Student *

Phone Number(s) *

Step 5: Academic Background

Previous School Name

Previous School Address

Dates Of Attendance

Class/Grade Level Applying For *

Primary Language Of Instruction

Special Education Services Received? *

Step 6: Consent & Permissions

Photo/Video Consent For School Use *

Yes

No

Internet And Technology Use Agreement *

I Accept

Field Trip Participation Consent *

Yes

No

Code Of Conduct Agreement *

I have read and agree to the school's code of conduct.

Step 7: Declaration & Signature

I confirm that the information provided in this application is accurate and complete to the best of my knowledge.

Parent/Guardian Full Name (Signature) *

Electronic Signature Authorization *

I authorize this as my electronic signature.

Date Of Submission *