CCPS Online Application Form

Application

Intended Major *
 
Study Length *
 
Entrance Grade *

Expected Entry Period *

Student Information

Chinese Name *
 
English Name *
Gender *
Nationality *
 
Date of Birth *
 

Chinese Ethnicity *
 
ID / Passport No. *
 
Home Phone *
 
Home Address &Postcode *
 

Student Education Background

Current School Name *
 
Date Attended From *

To

Previous School Name
Date Attended From

To

Family Information

Father/Guardian Mother/Guardian
Full Name  

 

Nationality

Mobile  

 

Email  

 

Education Background

Company Name

Occupation

Preferred Contact Method *

Emergency Contact Information

Full Name *
 
Relationship to the applicant *
 
Mobile *
 

Health Information

Does this student have any health problems that the staff should be aware of? If yes, please explain:
Is this student allergic to any medicine and food? If yes, please list them all:
Has the student received special educational services in the past or been diagnosed with a condition that could impact learning (e. g. Learning Support, Dyslexia, ADHD, Talented & Gifted)? If so, please explain:

Immunization *

Have you child received any vaccination for?
Other

Declaration *

We may use your personal data contained herein for marketing purposes, such as sending newsletter, updates and promotional materials to you. If you agree to receive such information or materials, please indicate your consent before signing by ticking the boxes below.
1. I confirm that I am the parent or guardian of the student.
2. I authorize CCPS to use, check and process my and my child’s information that is provided on this form.
3. I authorize CCPS to include photographs or images of myself and my child taken at an event held by the School in its promotional materials.
4. I understand that upon successful application and subsequent admission to the School, my and my child’s data will become a part of student record and may be used for all purposes as prescribed under relevant rules and regulations as well as attendant procedures, so long as my child remain a student of the School.
5. I declare that the information given in support of this application is accurate and complete. I understand that any misrepresentation will disqualify my application.

Signature *

Signature of Parents/Guardian
 

If you have any question when you are filling the form, please contact admission department directly. 4000-581-587