Please enable JavaScript in your browser to complete this form.Student Name *FirstMiddleLastDate of Birth (Month/Day/Year) *GenderFemaleMaleWhat grade level are you applying for? *9101112Email *Current Address *Country *What school are you currently attending, or did you last attend? *School AddressSchool Phone NumberCurrent Grade (or Last Grade Completed) *789101112Family InformationName of Parent / Guardian #1 *FirstLastRelationship to Student *MotherFatherGrandparentAuntUncleOtherEmail *Phone Number *How do you prefer to be contacted?By PhoneBy EmailNo PreferenceEmployer Name *Position Title *Is Parent/Guardian's address the same as the student's address?YesNoAddressName of Parent / Guardian #2FirstLastRelationship to Student MotherFatherGrandparentAuntUncleOtherEmail Phone NumberHow do you prefer to be contacted?By PhoneBy EmailNo PreferenceEmployer NamePosition TitleIs Parent/Guardian's address the same as the student's address?YesNoAddressSibling InformationStudent ResponsesWhy are you applying to ICHS?Small, Caring, Family AtmosphereChallenging CourseworkInternational DiversityBible InstructionAfterschool ActivitiesService Opportunities - local & internationalDissatisfaction with current schoolOtherHow did you hear about ICHS? *Use names please, not just "friend"Write the names of any ICHS students you know.What are you religious beliefs? *Church Information (Houses of Worship)Include name, address, & contact info.Short AnswersAnswer the 5 short essay questions. Use complete sentences. Who is a hero in your life? How has this person affected you? *What is an important lesson you have learned in the past few years? How has it affected you? *What are your strengths and weaknesses in school? *Tell us about your past learning experiences. What is easy for you? What is hard for you? What do you enjoy? How can we help you succeed academically?What are your goals for education after high school? *Mention any colleges or training programs that you are interested in.What are your career goals? *Include all possible career paths.Special Skills & InterestsSports, Music, Dance, Chess, Etc.Please let us know if there is anything else you'd like to share with us.Do you have any special learning needs/challenges? Have you repeated a grade? CommentSubmit
