Caribbean School, Inc.

Application/enrollment form for new students

For Academic Year: ____________

Student's Full Name: ___________________________________________________ Grade: __________

Home Address: ________________________________________________________________________

P.O. Address: _________________________________________________________________________

Home Phone: _____________________ Cellular No.: _______________________

Date of Birth: ______________ Place of Birth: ____________________________ Gender: Male Female

Last School Attended: _______________________________________ Year: _________ Grade: ________

Address: ________________________________________________________________

Previous Schools: School Name: _____________________________________Year: _____Grade: ____

_____________________________________ Year: _____Grade: ____

Father's Name: ______________________________________ Place of Birth: _________

Occupation: ___________________________ Name of Firm: ______________________

Business Address: ______________________________ Business Telephone: _______

Mother's Name: _____________________________________ Place of Birth: _____________________

Occupation: _________________________________ Name of Firm: ____________________________

Business Address: __________________________________ Business Telephone: ______________

Siblings:

Name: __________________ Age: ______ School Attending: ______________________ Grade: ____

Name: __________________ Age: ______ School Attending: ______________________ Grade: ____

Name: __________________ Age: ______ School Attending: ______________________ Grade: ____

Name: __________________ Age: ______ School Attending: ______________________ Grade: ____

Are any of the student's relatives former students of Caribbean School? Yes No

Full Name: _____________________________________ Class Year: ____________

Full Name: _____________________________________ Class Year: ____________

Reference:

(Preferably residents of Puerto Rico who are acquainted with the family.)

Please indicate if children of references are attending Caribbean School.

Yes No

Name: _____________________________________ Telephone: ____________________________

Address: ___________________________________________________________________________

The person asking for this application understands that acceptance depends upon availability of space and the presentation of a satisfactory report of conduct and academic achievement from the school previously attended. Grade placement, admission examinations and course programs are at the discretion of the Headmaster.

Date: _________________

Parent(s)/Guardian(s) signature: ____________________________ ____________________________

CARIBBEAN SCHOOL IS A DRUG FREE ENVIROMENT

As an independent school, Caribbean School does not discriminate on the basis of sex, creed, race, color, national or ethnic origin.

A NON-PROFIT ORGANIZATION INCORPORATED UNDER THE LAWS OF PUERTO RICO