Prospective Student Information Form
Thank you for your interest in ACS Jakarta, to receive information about our school by email, sms or phone, kindly fill out the form below.

To apply for scholarship grade 10 or 7
https://goo.gl/forms/dzW8lfLtMrIO23c02

Email address *
Date Of Visit *
MM
/
DD
/
YYYY
Name Of Child *
Your answer
Gender *
Place Of Birth *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Current School and Grade *
Your answer
Address
Your answer
Name of Father *
Your answer
Father's Mobile Phone Number *
Your answer
Name of Mother *
Your answer
Mother's Mobile Phone Number *
Your answer
Parents Email Address *
Your answer
How did you find out about our school? *
In selecting a school for your child, how important are the following attributes of the school? *
Slightly important
Quite important
Very important
Academic Focus
Distance from your home
English skill and international curriculum
School Facility
A copy of your responses will be emailed to the address you provided.
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