Student Background Form
This form is split into 6 sections and it will take about 15 minutes to complete it. The data is only saved upon its submission at the end.
The information collected here is for the Kids Connect team to get to know the learner's background as well as his immediate community It is for internal use only and is kept confidential.
Thank you for taking your time to helping us get to know your child.
Date of Application
What program are you interested in?
Story.... la la la ~
Will discuss in person
Child's First and Middle Name
Name in Chinese:
Date of Birth
School Currently Attending
Class Time in School
Address: Building Name/Tower/Flat
Address: Street Number and Street Name
Central, Causeway Bay, Wan Chai etc
Home Phone Number
Where did you hear about us?
Found by Searching Online
Can you provide a name or an organization for our reference only.
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This form was created inside of Kids Connect.