APPLICATION FORM

Qingdao No. 1 International School of Shandong Province

Application for Admission

Address

232 Songling Road, Qingdao, 266101 China

Phone

86 (532) 8890-9802 / 6889-8888
Fax: 86 (532) 8890-8876

Email

admissions@qiss.org.cn
www.qiss.org.cn

Attach Photo Here

Application For Admission to Grade

Today's Date

Desired Start Date

Is This Your First Application To QISS?

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Applicant's Name

Name

Middle

English

Date Of Birth

Gender

Nationality

Passport No.

Date Of Issue

Date Of Expiration

Student First Language

Student Second Language

Number Of Years Of Studying English As A Second Or Foreign Language

Name Of School

City and Country

Language Of Instruction

From Mo/Yr

To Mo/Yr

Name Of School

City and Country

Language Of Instruction

From Mo/Yr

To Mo/Yr

Grade Level(s)

Name Of School

City and Country

Language Of Instruction

From Mo/Yr

To Mo/Yr

Grade Level(s)

Name

First

Middle

Nationality

Employer

Position

Address

Telephone

Phone

Name

First

Middle

Nationality

Employer

Position

Address

Telephone

Phone

Name

Given

Birth Date

Grade

School

Location

APPLICATION FORM

Qingdao No. 1 International School of Shandong Province

Qingdao No. 1 International School of Shandong Province

Application for Admission

Application for Admission

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Email

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