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P.O. Box 6-7589

El Dorado, Panama

Republic  of Panama

E-mail: isp@isp.edu.pa

Web Site: http://www.isp.edu.pa

 

 

Tel: (507) 266-7862

266-9532

266-7037

Fax: (507) 266-7808

 

ENTRANCE INFORMATION

 

 

 

School Year

Last grade attended

Comments

STUDENT   INFORMATION

 

 

 

1. Last Name

2.  First Name

3.Birth Date (month/day/year)

4. Sex

5. Current age (years/months)

6. Nationality

7. Native Language

8a. Other Language (fluent y/n?)

 

8b.Other language (fluent y/n?)

 

8c.  Other language (fluent y/n?)

 

9a. Is the student covered by a Personal Insurance Policy? Y/N

 

9b. Insurance Company

9c. Policy Number

PREVIOUS SCHOOL INFORMATION

 

 

 

10a. School Attended

10b School’s Address

10c. Contact Person / Phone

10d. Grades and dates attended

11a. School Attended

 

11b. School’s Address

11c. Contact Person / Phone

11d. Grades and dates attended

12a. School Attended

 

12b. School’s Address

12c. Contact Person / Phone

12d. Grades and dates attended

Has the student received (please circle any that apply)

 

Remedial Assistance? If so, state subject area for which help was given: ____________________________

Enrichment Program? If so, state subject area for which help was given: ____________________________

English as a Second Language?  Please Circle Level:                   Basic        Intermediate       Advanced

Is the student currently taking any kind of medication? Yes____ No_____

If so, please explain: _______________________________________________________________________________________________

Please supply any additional information that will help us meet the educational, emotional or physical needs of your child.

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

SIBLINGS’ INFORMATION

 

13a.  Sibling’s Name,  Last Name

13b. Current school student attends

13c.  Birth Date

13d. Sex

14a. Sibling’s Name, Last Name

14b. Current school student attends

14c. Birth Date

14d. Sex

15a. Sibling’s Name, Last Name

15b. Current school Student attends

15c. Birth Date

15d. Sex

 

 

FATHER’S INFORMATION

 

 

 

16. Father’s First Name

17. Father’s Last Name

18. Nationality

19.  Passport or Cédula Number

 

20. Occupation and expected length of stay in Panama

21. Fax

 

22. Company’s Name

23. Work Phone Number

 

24.  Home Address (Building, street & house/apartment number)

25. Area of City

26. Home Phone Number

27.  Fees paid by Company? Y/N

 

28. Company’s RUC Number

29. E-mail Address

      Work:                                                            Home:

 

 

MOTHER’S INFORMATION

 

 

 

30.  Mother’s First Name

31. Mother’s Last Name

32. Nationality

33.  Passport or Cédula Number

 

34. Occupation

35. Fax

36. Company Name

37. Work Phone Number

38.  Home Address (Building, street  & house/apartment number)

39. Area of city

40. Home Phone Number

 

41.  Fees paid by Company? Y/N

 

42. Company’s RUC Number

43. E-mail Address

      Work:                                                          Home:

 

 

OTHER INFORMATION

 

 

 

44. Mailing Address   (P.O. Box Number)

45. Area of city

46. Country

 

Reasons for applying to ISP:

 

 

How did you learn about the school?

 

 

EMERGENCY INFORMATION

 

 

 

47. Emergency contact person’s name

 

Alternate person:

48. Relationship

49. Home Phone Number

50. Work Number

51. Fax

52. Comments (medical conditions)

 

53.  Responsible Parent

54.  Guardian’s Signature (if applicable)

55.  Mother’s Signature

56.  Father’s Signature

57. Today’s Date

ADDITIONAL STUDENT DATA

            By following the ISP program of study, your student will graduate with a diploma accredited by the Southern Association of Colleges and Schools (SACS) in the United States.  Another option available to ISP students is the issuance of official certificates at the 6th grade level, as well as the diploma issued by the Panamanian Ministry in the 12th grade.  In order to receive the certificates and/or diploma you must comply with the certification of records at the Ministry of Education.  In addition you must notify us of your intent to pursue or not to pursue Panamanian certificates/diploma  by consenting to the following:  (Please check ONE)

Text Box:  

 

      WE INTEND TO PURSUE PANAMANIAN CERTIFICATES/DIPLOMA       NOT MANDATORY

 

and assume the responsibility for submitting all necessary documents to the Ministry of Education.

Text Box:  

 

      WE DO NOT INTEND TO PURSUE PANAMANIAN CERTIFICATES/DIPLOMA

 

            IF YOUR CHILD IS ACCEPTED AS AN ISP STUDENT YOU WILL RECEIVE A STEP-BY-STEP GUIDE TO ASSIST YOU IN THE PROCESS YOU MUST FOLLOW WITH THE MINISTRY OF EDUCATION.

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PLEASE ATTACH THE FOLLOWING TO THIS APPLICATION

1. Records or transcripts from previous schools (translated if necessary).

2. Two (2)-passport photos.

3. Letters of reference from previous schools.

4. Birth Certificate or Authenticated Copy of Passport

This application must be completed and the candidate tested before the student is considered for admission.  The International School of Panama reserves the right to contact references and all previous schools.

Your signature on the appropriate space above

indicates that you agree to the terms of this application.