International Bilingual School at Hsinchu Science Park Application Form
Student Chinese Name / 中文姓名
If student has no Chinese name, you can skip this field.
Your answer
Surname of Student English Name (姓)
If student is dual nationalities, use American Passport's name.
Your answer
Middle Name of Student English Name
If student has no middle name, you can skip this field.
Your answer
Given Name of Student English Name (名字)
Your answer
Also Known As / 英文別名
Example: Ming-Te Hsiung is also known as Ted Hsiung. Please input "Ted".
Your answer
Sex / 姓別
Nationality / 國籍
Your answer
Birth Date / 出生年月日
MM
/
DD
/
YYYY
Birthplace / 出生地
Your answer
Grade Level Applying For / 申請入學年級
Your answer
School Last Attended Information / 最近就讀學校資訊
Name / 校名
If you are applying for first grade, please enter N/A / 如果申請一年級,請填寫N/A
Your answer
Grade / 年級
Your answer
According to the Enrollment Regulations Article 4, which Item are you eligible for? / 依據國立科學工業園區實驗高級中學雙語部招生簡章第四條申請入學條件之 第幾款入學
If parent works in science park, choose 1. If parent works for government, choose 2. If parent works at university or research institute, choose 3. If siblings study at IBSH, choose 4. If transfer from other science park, choose 5.
If (4) is selected, enter the sibling's name / 如依第(4)款入學者,請註明兄姊姓名
Your answer
If (4) is selected, enter the sibling's current class / 如依第(4)款入學者,請註明兄姊就讀班級
Your answer
Guardian Information / 家長資訊
Chinese Name / 中文姓名
If you have no Chinese name, you can skip this field.
Your answer
English Name
Your answer
Relationship to the Student / 與學生關係
Your answer
Home (contact) Phone / 聯絡電話
You can input your cell phone number.
Your answer
Cell Phone / 手機
Your answer
Address / 通訊處
Your answer
Email Address / 電子信箱
Your answer
Highest Academic Degree / 最高學歷
Your answer
Place of Employment / 服務機關
Your answer
Place of Employment Phone Number and ext / 服務機關電話及分機
Your answer
須繳驗證件 / Documents Required
本國籍(家長出生於中華民國者適用)

1.家長最近五年所有護照之「歷次入出境記錄」正本(請向內政部警政入出境管理局申請)
2.家長學歷證件影本
3.家長服務單位在職證明書正本與勞工保險卡影本並加蓋公司關防 (若屬其他園區轉入者請另附該園區駐區單位證明)
4.家長海外高科技五年以上工作經歷證明(具博士學位者免)
5.學生最近五年所有護照之「歷次入出境記錄」正本
6.學生最近二年之成績單影本
7.戶口名簿影本
8.學生二吋脫帽半身正面照片壹式三張 及電子檔

◎申請時,請攜帶正本以供核對,驗畢歸還。

For Foreigner Only
1. Xerox copy of guardian’s Passport cover sheet (if birthplace is Taiwan, please also provide official verification of non-ROC citizenship)
2. Xerox copy of guardian’s contract and labor insurance card with the company’s seal
3. Xerox copy of guardian’s diploma
4. Xerox copy of guardian’s ARC
5. Xerox copy of student’s ARC
6. Xerox copy of student’s Passport cover sheet
7. Xerox copy of student’s birth certificate
8. Guardian's certificate of entry and exit dates issued by National Immigration Agency, Republic of China.
9. Student's certificate of entry and exit dates issued by National Immigration Agency, Republic of China.
10. Student’s transcript for last two years.
11. Three copies of student’s photo (3.5cmX5 cm, or 2 inches) and electronic file.

◎Originals of items 1-9 must be personally examined by the IBSH Registrar, and copies of them must be submitted for IBSH files.

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