CIS - Online Application

Online application

You need a unique inquiry ID (i.e. CIS000001) to complete the application.

1. If you already have your Inquiry ID, please key it in below.

Commencement and grade level

*Proposed commencement date:

*Grade:

*Campus:

Lakeside Campus
Tanjong Katong Campus

*Pre-Kindergarten Chinese (Half Day) and Grade 6 Bilingual are currently not available at Tanjong Katong Campus

*French English Bilingual Programme is currently not available at Tanjong Katong Campus

Student's details

*Last name (as in passport):

*First name (as in passport):

Middle name/s (as in passport):

Preferred name (if applicable):

*Date of birth:

*Gender:

Female
Male

*Country of birth:

*Nationality:

*Passport number:

*Passport country:

*Passport expiry date:

*Dual citizenship:

Yes No

*Specify dual citizenship:

*Ethnic group:

*Student's Singapore residency status:

Dependant Pass
Immigration Exemption Order
Long Term Visit Pass
Permanent Resident
Singaporean
Student Pass

Family information

*With whom will the student reside in Singapore?

*Others - please specify:

*Are there any family circumstances we need to be aware of
i.e. divorce, separation, legal/custody and living arrangements?

Yes No

*If yes, please provide details:

*Siblings currently attending CIS:

Yes No

Sibling #1:

Name:

Grade:

Sibling #2:

Name:

Grade:

Sibling #3:

Name:

Grade:

*Siblings applying to attend CIS:

Yes No

Sibling #1:

Name:

Grade:

Sibling #2:

Name:

Grade:

Sibling #3:

Name:

Grade:

Father's details

*Last name (as in passport):

*First name (as in passport):

Singapore home address:
(all correspondence will be sent to this address)

Address 1
Address 2
City
Country
Postal Code

Overseas home address:

Address 1
Address 2
City
State
Country
Postal Code

*Nationality:

*Singapore residency status:

Telephone number (Overseas):

Telephone number (Singapore):

Mobile number (Overseas):

Mobile number (Singapore):

*Email:
(will be used for school communications)

*Occupation:

*Company name:

*Industry:

Telephone number (Office):

Mother's details

*Last name (as in passport):

*First name (as in passport):

Please tick the following box if Singapore home address is same as spouse

Singapore home address:
(all correspondence will be sent to this address)

Address 1
Address 2
City
Country
Postal code

Please tick the following box if Overseas home address is same as spouse

Overseas home address:

Address 1
Address 2
City
State
Country
Postal code

*Nationality:

*Singapore residency status:

Telephone number (Overseas):

Telephone number (Singapore):

Mobile number (Overseas):

Mobile number (Singapore):

*Email:
(will be used for school communications)

*Occupation:

*Company name:

*Industry:

Telephone number (Office):

School communication

*School communications should be sent to:

*Others - please specify:

In case of emergency the school should contact:

*Name:

*Relationship to student:

Emergency home phone:

Emergency office phone:

*Emergency mobile phone:

Email:

Billing information

Company to be billed:

*Attention to:

Please tick the following box if the Billing Address is the same as the Residential Address

*Billing address for all fees:

Address 1
Address 2
City
Country
Postal code

Phone:

Email:

Fax:

Marketing

*How long have you resided in Singapore?

*How did you find out about CIS?

*Other - please specify

Student's educational details

*How many years has your child been in an educational setting?

*What grade is your child currently in?

Current school	Previous school 1	Previous school 2	Previous school 3

*School name:

*School country:

*Start date:

*End date:

*Highest grade completed:

*Language of instruction:

Contact details for most recent school attended

School name:

Contact person:

Position:

Email:

Telephone number:

*Why is your child leaving his/her current educational setting?


Student's information
*HEALTH AND SAFETY
*Does your child have any medical conditions, which may influence his/her participation in classroom or in sports?	Yes No
*Please state the nature of the condition(s) and submit all medical reports:
*Does your child have any allergies, which may influence his/her participation in classroom or in sports?	Yes No
*Please state the nature of the allergies:
*Does your child require any medication?	Yes No
*Please list the details of the medication:
*ACADEMICS
*Has your child ever been assessed with learning difficulties?	Yes No
*Nature of the difficulty:
*Has your child ever benefited from academic/ learning support?	Yes No
*Nature of support or remedial help:
*Has your child ever been assessed as gifted/talented?	Yes No
*If yes, please provide details:
*Has your child ever been supported by a specialist (i.e. psychologist, speech pathologist, counsellor, occupational therapist)?	Yes No
*If yes, please provide details:
*Has your child have any hearing, speech or physical difficulty?	Yes No
*If yes, please provide details:
*Does your child have any social, emotional or behavioural difficulty?	Yes No
*If yes, please provide details:
*Other academic concerns?	Yes No
*If yes, please provide details:
Please include any other comments or information which will enable our teachers to understand your child better:

Has your child received additional help in the following areas?
*Social	Yes No
*Emotional	Yes No
*Behavioural	Yes No
*If yes to any of the above please provide details:
*Has your child ever been suspended or asked to leave a school?	Yes No
*If yes, please provide details:
*How does your child feel about moving to CIS?

*FURTHER INSIGHT INTO YOUR CHILD
*What do you see as your child's strengths?
*What do you see as your child's growth areas (focus areas for improvement)?
*In which country is your child most likely to study at University/College in the future?
Any other information which may be of use with helping us to get to know your child better (i.e family circumstances, special talents/achievements, health, well being, etc)?

*LANGUAGE

*What is your child's first/native language?

What is your child's second language?

In which other language is your child proficient?

*What is your child's English proficiency?

Native High Medium Low

If your child's first / native language is not English, how long has your child been learning English?

*Which language is spoken at home (if more than one, please list)?

*Has your child ever studied a language other than English at school?

Yes No

*Does your child receive additional support with his/her first language?

Yes No

*If yes to any of the above, please provide details:

*Please list previous countries of residence:

*Please list all languages studied including mother tongue:

*Where (country)?

*How long?

*Type of programme (For example - First language instruction/ second language class/ immersion programme/ bilingual programme, etc)?

Additional comments:

Payment

*Mode of payment:

Cash
Cheque
Telegraphic Transfer (TT)

Terms and Agreement

Acknowledgement, Acceptance and Indemnification

I, the undersigned Applicant (“Applicant”), request the enrolment of my Child. I certify that all particulars furnished in this application and any accompanying documentation are true, accurate, complete, original and authentic. I further understand that I will be required to read, understand and sign a copy of the Student Contract upon acceptance. I will also be given an e-copy of the Parent Handbook, which will provide me with further information about the School.

Without prejudice to the generality of the foregoing, by my submission of this application, I warrant that I am the Parent or Legal Guardian of the Student and that I am able to act on behalf of both Parents (if a parent is the Applicant) and all Legal Guardians (if a Legal Guardian is the Applicant) of the Student; and hereby indemnify the School in respect of any breach of any of the above representations. The School shall be entitled to rely upon such representations without further enquiry and the foregoing indemnity shall not be affected by any notice, actual or constructive of the School, to the contrary. The School shall be entitled at any time and from time to time, to require me to provide any information (or documentary proof) relating to myself, my hild/Ward, my child’s Parents or Legal Guardians and the School shall not be obliged to verify any information, matter or instruction provided by me or my nominated Contact Person, whether a Representative (nominated by a Representative Form) or Caregiver (nominated by a Caregiver Form). By my completion of the Representative Form or the Caregiver Form, I am deemed to have authorized the School to communicate solely with the Representative or Caregiver and have agreed to indemnify the School against any liability, claim, demand, suit by or settlement with, any Parent or Legal Guardian of the child in respect of any action or omission taken by the School on the instructions of the Representative or Caregiver.

The School reserves the right to request private assessments such as psycho educational and/or occupational therapy, ADHD identification and visual or auditory assessments, as well as the right to request additional Learning Support services for a student, if such a programme is required to ensure success at the School. All placement decisions are made by the School.

Personal Data Protection Act

In submitting my personal data to you and signing this form, I acknowledge and consent to your collection, use, process or disclosure of my/my child’s/my ward’s personal data for the purposes reasonably required in connection with your provision of services, including but not limited to those purposes specified in your Personal Data Protection Policy*, the terms of which are hereby incorporated by reference.

I also consent to the disclosure of my /my child’s/my ward’s personal data to your third party service providers, agents, affiliated companies and/or other third parties, whether within or outside Singapore, for one or more of the above mentioned purposes.

* A copy of our Personal Data Protection Policy can be found on our website or by request. If you have any questions relating to our Policy or would like to withdraw your consent to use of your data, please contact our Data Protection Officer at pdpa@cis.edu.sg.

Accuracy of Information

I warrant that all information submitted in this form, including my/my child’s/ward’s personal data, is true and accurate and undertake to notify the school promptly of any changes.

Where I have provided personal data relating to other individuals (including minors), I represent and warrant that I am authorised to provide their personal data to you and have obtained their consent to the collection, use, processing and disclosure of their personal data in accordance with the purposes reasonably required in connection with your provision of services.

*Applicant - father's/mother's/legal guardian's full name:

To be able to select the "Submit" button, you must select the above checkbox to confirm your acceptance of the Terms & Agreement.

Inquiry ID:
Email:


2. If you have forgotten your inquiry ID, you can retrieve it by emailing requestid@cis.edu.sg.
3. If you've not enquired about enrolment before, you will not have an inquiry ID. To receive an auto-generated email with your inquiry ID, complete the Inquiry ID request form.
4. If you're an existing CIS or Holiday Programme parent and would like to submit an application, please email us at requestid@cis.edu.sg to obtain another inquiry ID.

*EARLY CHILDHOOD INFORMATION
*Were there any complications with your child's birth?	Yes No
*Were there any significant health issues in your child's first years of life?	Yes No
*Did your child have difficulty with general coordination, balance and physical skills?	Yes No
*Did your child ever have difficulty with attention/concentration?	Yes No
*If yes to any of the above, please provide details:
*Is your child toilet trained?	Yes No (If unsure, please refer to our Toilet Training guidelines)
*If no, please provide details:
*Were there any areas of concern about your child's development?
*Gross motor skills	Yes No
*Fine motor skills	Yes No
*Speaking	Yes No
*Social skills	Yes No
*Emotional maturity	Yes No
*If yes to any of the above, please provide details: