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APPLICATION FORM
Please fill out the following information:

LOGIN INFORMATION

Username*
Password*
Confirm password*
Username email*

STUDENT INFORMATION

First Name* Last Name*
Middle Initial Nickname
Date of Birth* Month   Day      Year
Age*
Sex*
Male Female
Nationality*
Current School

Grade

Mother Tongue*
Other languages
spoken

Please indicate if you have previously applied to or attended other TASIS Schools or Summer Programs.
Yes 
No  

FAMILY INFORMATION

Father's Name
(First, Last)

Mother's Name
(First, Last)

Guardian's Name
Mailing Address* Address (cont.)
Zip Code City*
State/Province
Country*
Phone* Fax
Check one of the following if appropriate:
  Father Deceased   Mother Deceased
  Parents Divorced   Parents Separated
   Father Remarried   Mother Remarried

FATHER'S INFORMATION
Father's profession
Phone
Fax
Mobile
Email


MOTHER'S INFORMATION
Mother's profession
Phone
Fax
Mobile
Email


INVOICE INFORMATION

Where should all invoices be sent?*
  Mailing address
  Billing Address 


Billing Address

c/o
Street
ZIP code
City
State/Province
Country
Email

EMERGENCY CONTACT

Relation to Student
Name*
Address
Phone * Fax
Mobile Email

How did you hear about TASIS?

Educational Consultant Agent
Teacher School
Directory Advertisement
Friends TASIS Alumnus/a
Internet/Website Other
Please specify name of source            

 
 
* Required field
 
6926 Montagnola - Switzerland - Phone 0041 91 960 51 51 - Fax 0041 91 993 16 47