Spreadsheet: 152495d1335407880-moving-data-between-sheets-student-forms-suite-neyc-2011-2012-junior
Sheet: Student Application Data 

东北育才学校国际部                                                                        NorthEast Yucai International School |  |  |  |  |  |  |  |  |  |  | 东北育才学校国际部                                                                        NorthEast Yucai International School |  |  |  |  |  |  |  |  |  | 东北育才学校国际部                                                                        NorthEast Yucai International School |  |  |  |  |  |  |  |  |  |  | 东北育才学校国际部                                                                        NorthEast Yucai International School
NEYC INTERNATIONAL DIVISION STUDENT ADMISSION FORM |  |  |  |  |  |  |  |  |  |  | NEYC INTERNATIONAL DIVISION STUDENT ADMISSION FORM |  |  |  |  |  |  |  |  |  | NEYC INTERNATIONAL DIVISION STUDENT ADMISSION FORM |  |  |  |  |  |  |  |  |  |  | NEYC INTERNATIONAL DIVISION STUDENT ADMISSION FORM
[NAME]110179 |  |  |  | NE Yucai International division                               No. 41 Shiji Road Hunnan New District                                                                     Shenyang, Liaoning, CHINA 110179 |  |  |  |  |  |  | [NAME]110179 |  |  |  | NE Yucai International division                               No. 41 Shiji Road Hunnan New District                                                                     Shenyang, Liaoning, CHINA 110179 |  |  |  |  |  | [NAME]110179 |  |  |  | NE Yucai International division                               No. 41 Shiji Road Hunnan New District                                                                     Shenyang, Liaoning, CHINA 110179 |  |  |  |  |  |  | [NAME]110179 |  |  |  | NE Yucai International division                               No. 41 Shiji Road Hunnan New District                                                                     Shenyang, Liaoning, CHINA 110179
Phone:                                            Fax:                                            Web: www.neyc.cn |  |  |  |  |  |  |  |  |  |  | Phone:                                            Fax:                                            Web: www.neyc.cn |  |  |  |  |  |  |  |  |  | Phone:                                            Fax:                                            Web: www.neyc.cn |  |  |  |  |  |  |  |  |  |  | Phone:                                            Fax:                                            Web: www.neyc.cn
Please complete all fields below. Incomplete applications may cause delay. |  |  |  |  |  |  |  |  |  |  | Please complete all fields below. Incomplete applications may cause delay. |  |  |  |  |  |  |  |  |  | Please complete all fields below. Incomplete applications may cause delay. |  |  |  |  |  |  |  |  |  |  | Please complete all fields below. Incomplete applications may cause delay.
Student's Birth Name |  |  |  |  |  |  |  | Current Photograph |  |  | Student's Birth Name |  |  |  |  |  |  |  | Current Photograph |  | Student's Birth Name |  |  |  |  |  |  |  | Current Photograph |  |  | Student's Birth Name |  |  |  |  |  |  |  | Current Photograph
Student's Chinese Name |  |  |  |  |  |  |  |  |  |  | Student's Chinese Name |  |  |  |  |  |  |  |  |  | Student's Chinese Name |  |  |  |  |  |  |  |  |  |  | Student's Chinese Name
Student's English Name |  |  |  |  |  |  |  |  |  |  | Student's English Name |  |  |  |  |  |  |  |  |  | Student's English Name |  |  |  |  |  |  |  |  |  |  | Student's English Name
Native Language |  |  |  |  |  |  |  |  |  |  | Native Language |  |  |  |  |  |  |  |  |  | Native Language |  |  |  |  |  |  |  |  |  |  | Native Language
Section 1: STUDENT INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 1: STUDENT INFORMATION |  |  |  |  |  |  |  |  |  | Section 1: STUDENT INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 1: STUDENT INFORMATION
Applying for (semester and year): |  |  |  |  | 日期 Date of Application |  |  |  |  |  | Applying for (semester and year): |  |  |  |  | 日期 Date of Application |  |  |  |  | Applying for (semester and year): |  |  |  |  | 日期 Date of Application |  |  |  |  |  | Applying for (semester and year): |  |  |  |  | 日期 Date of Application
Applicant's SSN/ID # (required): |  |  |  |  | 姓名Name of Student (last,first,middle) |  |  |  |  |  | Applicant's SSN/ID # (required): |  |  |  |  | 姓名Name of Student (last,first,middle) |  |  |  |  | Applicant's SSN/ID # (required): |  |  |  |  | 姓名Name of Student (last,first,middle) |  |  |  |  |  | Applicant's SSN/ID # (required): |  |  |  |  | 姓名Name of Student (last,first,middle)
Applicant's Home Address: |  |  |  |  | City, State/Province, Zip code/Postal code |  |  |  |  |  | Applicant's Home Address: |  |  |  |  | City, State/Province, Zip code/Postal code |  |  |  |  | Applicant's Home Address: |  |  |  |  | City, State/Province, Zip code/Postal code |  |  |  |  |  | Applicant's Home Address: |  |  |  |  | City, State/Province, Zip code/Postal code
护照号码Passport #: |  |  |  |  | 国籍Nationality |  |  |  |  |  | 护照号码Passport #: |  |  |  |  | 国籍Nationality |  |  |  |  | 护照号码Passport #: |  |  |  |  | 国籍Nationality |  |  |  |  |  | 护照号码Passport #: |  |  |  |  | 国籍Nationality
Applicant's Home Phone #: |  |  |  |  | Applicant's Cellphone # |  |  | Applicant's [NAME] |  |  | Applicant's Home Phone #: |  |  |  |  | Applicant's Cellphone # |  |  | Applicant's [NAME] |  | Applicant's Home Phone #: |  |  |  |  | Applicant's Cellphone # |  |  | Applicant's [NAME] |  |  | Applicant's Home Phone #: |  |  |  |  | Applicant's Cellphone # |  |  | Applicant's [NAME]
Applicant’s place of birth: |  |  |  |  | 出生年月DOB (yyyy.mm.dd) |  |  | Boarding at NEYC? |  |  | Applicant’s place of birth: |  |  |  |  | 出生年月DOB (yyyy.mm.dd) |  |  | Boarding at NEYC? |  | Applicant’s place of birth: |  |  |  |  | 出生年月DOB (yyyy.mm.dd) |  |  | Boarding at NEYC? |  |  | Applicant’s place of birth: |  |  |  |  | 出生年月DOB (yyyy.mm.dd) |  |  | Boarding at NEYC?
性别Sex |  | Graduating Class |  |  | 入学日期Entry Date (yyyy.mm.dd) |  |  |  | Guardian in China? |  | 性别Sex |  | Graduating Class |  |  | 入学日期Entry Date (yyyy.mm.dd) |  |  |  | Guardian in China? | 性别Sex |  | Graduating Class |  |  | 入学日期Entry Date (yyyy.mm.dd) |  |  |  | Guardian in China? |  | 性别Sex |  | Graduating Class |  |  | 入学日期Entry Date (yyyy.mm.dd) |  |  |  | Guardian in China?
Graduating from NEYC International High School? |  |  |  |  | Expected High School Graduation Date (Semester and year) |  |  |  |  |  | Graduating from NEYC International High School? |  |  |  |  | Expected High School Graduation Date (Semester and year) |  |  |  |  | Graduating from NEYC International High School? |  |  |  |  | Expected High School Graduation Date (Semester and year) |  |  |  |  |  | Graduating from NEYC International High School? |  |  |  |  | Expected High School Graduation Date (Semester and year)
Entrance Grade Level |  |  | English nickname |  | Religious Affiliation |  |  |  |  |  | Entrance Grade Level |  |  | English nickname |  | Religious Affiliation |  |  |  |  | Entrance Grade Level |  |  | English nickname |  | Religious Affiliation |  |  |  |  |  | Entrance Grade Level |  |  | English nickname |  | Religious Affiliation
Section student will study in (Chinese, French, German, English) |  |  |  |  |  |  |  |  |  |  | Section student will study in (Chinese, French, German, English) |  |  |  |  |  |  |  |  |  | Section student will study in (Chinese, French, German, English) |  |  |  |  |  |  |  |  |  |  | Section student will study in (Chinese, French, German, English)
English Section
Section 2: SCHOOL ACADEMIC INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 2: SCHOOL ACADEMIC INFORMATION |  |  |  |  |  |  |  |  |  | Section 2: SCHOOL ACADEMIC INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 2: SCHOOL ACADEMIC INFORMATION
Educational System attended prior to NEYC |  |  |  |  | Years of formal education completed before NEYC? |  |  |  |  |  | Educational System attended prior to NEYC |  |  |  |  | Years of formal education completed before NEYC? |  |  |  |  | Educational System attended prior to NEYC |  |  |  |  | Years of formal education completed before NEYC? |  |  |  |  |  | Educational System attended prior to NEYC |  |  |  |  | Years of formal education completed before NEYC?
Name of school attended prior to NEYC |  |  |  |  | Address of School attended prior to NEYC |  |  |  |  |  | Name of school attended prior to NEYC |  |  |  |  | Address of School attended prior to NEYC |  |  |  |  | Name of school attended prior to NEYC |  |  |  |  | Address of School attended prior to NEYC |  |  |  |  |  | Name of school attended prior to NEYC |  |  |  |  | Address of School attended prior to NEYC
English proficiency/native speaker? |  |  |  |  | First language |  |  | Other languages |  |  | English proficiency/native speaker? |  |  |  |  | First language |  |  | Other languages |  | English proficiency/native speaker? |  |  |  |  | First language |  |  | Other languages |  |  | English proficiency/native speaker? |  |  |  |  | First language |  |  | Other languages
# of years of formal Chinese language education? |  |  |  |  | # of years of formal English language education? |  |  |  |  |  | # of years of formal Chinese language education? |  |  |  |  | # of years of formal English language education? |  |  |  |  | # of years of formal Chinese language education? |  |  |  |  | # of years of formal English language education? |  |  |  |  |  | # of years of formal Chinese language education? |  |  |  |  | # of years of formal English language education?
Provide the following information for schools attended: |  |  |  |  |  |  |  |  |  |  | Provide the following information for schools attended: |  |  |  |  |  |  |  |  |  | Provide the following information for schools attended: |  |  |  |  |  |  |  |  |  |  | Provide the following information for schools attended:
Grade Level |  | Name of School* |  |  | Address/Location of School |  |  |  |  |  | Grade Level |  | Name of School* |  |  | Address/Location of School |  |  |  |  | Grade Level |  | Name of School* |  |  | Address/Location of School |  |  |  |  |  | Grade Level |  | Name of School* |  |  | Address/Location of School
1st Grade |  |  |  |  |  |  |  |  |  |  | 1st Grade |  |  |  |  |  |  |  |  |  | 1st Grade |  |  |  |  |  |  |  |  |  |  | 1st Grade
2nd Grade |  |  |  |  |  |  |  |  |  |  | 2nd Grade |  |  |  |  |  |  |  |  |  | 2nd Grade |  |  |  |  |  |  |  |  |  |  | 2nd Grade
3rd Grade |  |  |  |  |  |  |  |  |  |  | 3rd Grade |  |  |  |  |  |  |  |  |  | 3rd Grade |  |  |  |  |  |  |  |  |  |  | 3rd Grade
4th Grade |  |  |  |  |  |  |  |  |  |  | 4th Grade |  |  |  |  |  |  |  |  |  | 4th Grade |  |  |  |  |  |  |  |  |  |  | 4th Grade
5th Grade |  |  |  |  |  |  |  |  |  |  | 5th Grade |  |  |  |  |  |  |  |  |  | 5th Grade |  |  |  |  |  |  |  |  |  |  | 5th Grade
6th Grade |  |  |  |  |  |  |  |  |  |  | 6th Grade |  |  |  |  |  |  |  |  |  | 6th Grade |  |  |  |  |  |  |  |  |  |  | 6th Grade
7th Grade |  |  |  |  |  |  |  |  |  |  | 7th Grade |  |  |  |  |  |  |  |  |  | 7th Grade |  |  |  |  |  |  |  |  |  |  | 7th Grade
8th Grade |  |  |  |  |  |  |  |  |  |  | 8th Grade |  |  |  |  |  |  |  |  |  | 8th Grade |  |  |  |  |  |  |  |  |  |  | 8th Grade
9th Grade |  |  |  |  |  |  |  |  |  |  | 9th Grade |  |  |  |  |  |  |  |  |  | 9th Grade |  |  |  |  |  |  |  |  |  |  | 9th Grade
10th Grade |  |  |  |  |  |  |  |  |  |  | 10th Grade |  |  |  |  |  |  |  |  |  | 10th Grade |  |  |  |  |  |  |  |  |  |  | 10th Grade
11th Grade |  |  |  |  |  |  |  |  |  |  | 11th Grade |  |  |  |  |  |  |  |  |  | 11th Grade |  |  |  |  |  |  |  |  |  |  | 11th Grade
12th Grade |  |  |  |  |  |  |  |  |  |  | 12th Grade |  |  |  |  |  |  |  |  |  | 12th Grade |  |  |  |  |  |  |  |  |  |  | 12th Grade
SUBMIT THE FOLLOWING ACADEMIC DOCUMENTS TO COMPLETETHIS APPLICATION |  |  |  |  |  |  |  |  |  |  | SUBMIT THE FOLLOWING ACADEMIC DOCUMENTS TO COMPLETETHIS APPLICATION |  |  |  |  |  |  |  |  |  | SUBMIT THE FOLLOWING ACADEMIC DOCUMENTS TO COMPLETETHIS APPLICATION |  |  |  |  |  |  |  |  |  |  | SUBMIT THE FOLLOWING ACADEMIC DOCUMENTS TO COMPLETETHIS APPLICATION
*Official transcripts / report cards from the school(s) listed above must be submitted to NEYC International School. Only official copies sent by the school will be accepted. |  |  |  |  |  |  |  |  |  |  | *Official transcripts / report cards from the school(s) listed above must be submitted to NEYC International School. Only official copies sent by the school will be accepted. |  |  |  |  |  |  |  |  |  | *Official transcripts / report cards from the school(s) listed above must be submitted to NEYC International School. Only official copies sent by the school will be accepted. |  |  |  |  |  |  |  |  |  |  | *Official transcripts / report cards from the school(s) listed above must be submitted to NEYC International School. Only official copies sent by the school will be accepted.
School activities/clubs student has participated in: |  |  |  |  | Any honors/awards student has received: |  |  |  |  |  | School activities/clubs student has participated in: |  |  |  |  | Any honors/awards student has received: |  |  |  |  | School activities/clubs student has participated in: |  |  |  |  | Any honors/awards student has received: |  |  |  |  |  | School activities/clubs student has participated in: |  |  |  |  | Any honors/awards student has received:
What extracurricular activities is the student interested in joining while at NEYC International School? |  |  |  |  |  |  |  |  |  |  | What extracurricular activities is the student interested in joining while at NEYC International School? |  |  |  |  |  |  |  |  |  | What extracurricular activities is the student interested in joining while at NEYC International School? |  |  |  |  |  |  |  |  |  |  | What extracurricular activities is the student interested in joining while at NEYC International School?
Section 3: PARENT/GUARDIAN CONTACT INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 3: PARENT/GUARDIAN CONTACT INFORMATION |  |  |  |  |  |  |  |  |  | Section 3: PARENT/GUARDIAN CONTACT INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 3: PARENT/GUARDIAN CONTACT INFORMATION
This information is provided by: |  |  |  |  | If you are the student's parent/guardian, please submit a letter with a statement of guardianship. |  |  |  |  |  | This information is provided by: |  |  |  |  | If you are the student's parent/guardian, please submit a letter with a statement of guardianship. |  |  |  |  | This information is provided by: |  |  |  |  | If you are the student's parent/guardian, please submit a letter with a statement of guardianship. |  |  |  |  |  | This information is provided by: |  |  |  |  | If you are the student's parent/guardian, please submit a letter with a statement of guardianship.
Parents' marital status: |  |  |  |  |  |  |  |  |  |  | Parents' marital status: |  |  |  |  |  |  |  |  |  | Parents' marital status: |  |  |  |  |  |  |  |  |  |  | Parents' marital status:
Married | Separated | Divorced | Single | Widowed | What is the guardian's relationship to applicant? |  |  |  |  |  | Married | Separated | Divorced | Single | Widowed | What is the guardian's relationship to applicant? |  |  |  |  | Married | Separated | Divorced | Single | Widowed | What is the guardian's relationship to applicant? |  |  |  |  |  | Married | Separated | Divorced | Single | Widowed | What is the guardian's relationship to applicant?
Please complete all information below. Indicate if deceased. |  |  |  |  |  |  |  |  |  |  | Please complete all information below. Indicate if deceased. |  |  |  |  |  |  |  |  |  | Please complete all information below. Indicate if deceased. |  |  |  |  |  |  |  |  |  |  | Please complete all information below. Indicate if deceased.
 |  | Mother: |  |  |  | Father: |  |  |  |  |  |  | Mother: |  |  | Father: |  |  |  |  |  |  | Mother: |  |  |  | Father: |  |  |  |  |  |  | Mother: |  |  |  | Father:
Name: |  |  |  |  |  |  |  |  |  |  | Name: |  |  |  |  |  |  |  |  |  | Name: |  |  |  |  |  |  |  |  |  |  | Name:
Address: |  |  |  |  |  |  |  |  |  |  | Address: |  |  |  |  |  |  |  |  |  | Address: |  |  |  |  |  |  |  |  |  |  | Address:
Home Phone: |  |  |  |  |  |  |  |  |  |  | Home Phone: |  |  |  |  |  |  |  |  |  | Home Phone: |  |  |  |  |  |  |  |  |  |  | Home Phone:
Work Phone: |  |  |  |  |  |  |  |  |  |  | Work Phone: |  |  |  |  |  |  |  |  |  | Work Phone: |  |  |  |  |  |  |  |  |  |  | Work Phone:
Cellphone: |  |  |  |  |  |  |  |  |  |  | Cellphone: |  |  |  |  |  |  |  |  |  | Cellphone: |  |  |  |  |  |  |  |  |  |  | Cellphone:
Fax: |  |  |  |  |  |  |  |  |  |  | Fax: |  |  |  |  |  |  |  |  |  | Fax: |  |  |  |  |  |  |  |  |  |  | Fax:
[NAME]: |  |  |  |  |  |  |  |  |  |  | [NAME]: |  |  |  |  |  |  |  |  |  | [NAME]: |  |  |  |  |  |  |  |  |  |  | [NAME]:
Specific occupation: |  |  |  |  |  |  |  |  |  |  | Specific occupation: |  |  |  |  |  |  |  |  |  | Specific occupation: |  |  |  |  |  |  |  |  |  |  | Specific occupation:
Employer: |  |  |  |  |  |  |  |  |  |  | Employer: |  |  |  |  |  |  |  |  |  | Employer: |  |  |  |  |  |  |  |  |  |  | Employer:
Primary Language: |  |  |  |  |  |  |  |  |  |  | Primary Language: |  |  |  |  |  |  |  |  |  | Primary Language: |  |  |  |  |  |  |  |  |  |  | Primary Language:
Other Languages: |  |  |  |  |  |  |  |  |  |  | Other Languages: |  |  |  |  |  |  |  |  |  | Other Languages: |  |  |  |  |  |  |  |  |  |  | Other Languages:
 |  | Advisor/Agent/ Representative/ Assistant: |  |  |  | Additional relative/Guardian: |  |  |  |  |  |  | Advisor/Agent/ Representative/ Assistant: |  |  | Additional relative/Guardian: |  |  |  |  |  |  | Advisor/Agent/ Representative/ Assistant: |  |  |  | Additional relative/Guardian: |  |  |  |  |  |  | Advisor/Agent/ Representative/ Assistant: |  |  |  | Additional relative/Guardian:
Name: |  |  |  |  |  |  |  |  |  |  | Name: |  |  |  |  |  |  |  |  |  | Name: |  |  |  |  |  |  |  |  |  |  | Name:
Address: |  |  |  |  |  |  |  |  |  |  | Address: |  |  |  |  |  |  |  |  |  | Address: |  |  |  |  |  |  |  |  |  |  | Address:
Home Phone: |  |  |  |  |  |  |  |  |  |  | Home Phone: |  |  |  |  |  |  |  |  |  | Home Phone: |  |  |  |  |  |  |  |  |  |  | Home Phone:
Work Phone: |  |  |  |  |  |  |  |  |  |  | Work Phone: |  |  |  |  |  |  |  |  |  | Work Phone: |  |  |  |  |  |  |  |  |  |  | Work Phone:
Cellphone: |  |  |  |  |  |  |  |  |  |  | Cellphone: |  |  |  |  |  |  |  |  |  | Cellphone: |  |  |  |  |  |  |  |  |  |  | Cellphone:
Fax: |  |  |  |  |  |  |  |  |  |  | Fax: |  |  |  |  |  |  |  |  |  | Fax: |  |  |  |  |  |  |  |  |  |  | Fax:
[NAME]: |  |  |  |  |  |  |  |  |  |  | [NAME]: |  |  |  |  |  |  |  |  |  | [NAME]: |  |  |  |  |  |  |  |  |  |  | [NAME]:
Specific occupation: |  |  |  |  |  |  |  |  |  |  | Specific occupation: |  |  |  |  |  |  |  |  |  | Specific occupation: |  |  |  |  |  |  |  |  |  |  | Specific occupation:
Employer: |  |  |  |  |  |  |  |  |  |  | Employer: |  |  |  |  |  |  |  |  |  | Employer: |  |  |  |  |  |  |  |  |  |  | Employer:
Primary Language: |  |  |  |  |  |  |  |  |  |  | Primary Language: |  |  |  |  |  |  |  |  |  | Primary Language: |  |  |  |  |  |  |  |  |  |  | Primary Language:
Other Languages: |  |  |  |  |  |  |  |  |  |  | Other Languages: |  |  |  |  |  |  |  |  |  | Other Languages: |  |  |  |  |  |  |  |  |  |  | Other Languages:
Section 4: OTHER INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 4: OTHER INFORMATION |  |  |  |  |  |  |  |  |  | Section 4: OTHER INFORMATION |  |  |  |  |  |  |  |  |  |  | Section 4: OTHER INFORMATION
List any relatives who have attended NEYC International School |  |  |  |  |  | How did you hear about NEYC Int. School? |  |  |  |  | List any relatives who have attended NEYC International School |  |  |  |  |  | How did you hear about NEYC Int. School? |  |  |  | List any relatives who have attended NEYC International School |  |  |  |  |  | How did you hear about NEYC Int. School? |  |  |  |  | List any relatives who have attended NEYC International School |  |  |  |  |  | How did you hear about NEYC Int. School?
The information submitted on this form is correct and true to the best of my knowledge at the time of application.  I have not knowingly submitted any false or misleading information. I understand that if it is determined that the information submitted is false or misleading, admission to NEYC International School may be denied or revoked. |  |  |  |  |  |  |  |  |  |  | The information submitted on this form is correct and true to the best of my knowledge at the time of application.  I have not knowingly submitted any false or misleading information. I understand that if it is determined that the information submitted is false or misleading, admission to NEYC International School may be denied or revoked. |  |  |  |  |  |  |  |  |  | The information submitted on this form is correct and true to the best of my knowledge at the time of application.  I have not knowingly submitted any false or misleading information. I understand that if it is determined that the information submitted is false or misleading, admission to NEYC International School may be denied or revoked. |  |  |  |  |  |  |  |  |  |  | The information submitted on this form is correct and true to the best of my knowledge at the time of application.  I have not knowingly submitted any false or misleading information. I understand that if it is determined that the information submitted is false or misleading, admission to NEYC International School may be denied or revoked.
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