星苗國際_109學年度_新生入學報名表 STAR Academy Application Form
Email address *
學生姓名 - Student Name *
Your answer
出生年月日 - Date of Birth *
MM
/
DD
/
YYYY
身分證字號 - ID No. *
Your answer
國籍 - Nationality *
Your answer
性別 - Sex *
通訊地址 - Current Address
Your answer
戶籍地址 - Permanent Address *
Your answer
托育經驗 - Daycare Experience
Your answer
父親姓名 - Father's Name
Your answer
父親聯絡電話 - Father's Telephone
Your answer
父親公司名稱 - Father's Company Name
Your answer
父親公司電話 - Father's Company Phone No.
Your answer
父親信箱 - Father's E-mail address
Your answer
母親姓名 - Mother's Name
Your answer
母親聯絡電話 - Mother's Telephone
Your answer
公司名稱 - Company Name
Your answer
母親公司電話 - Mother's Company Phone No.
Your answer
母親信箱 - Mother's E-mail address
Your answer
報名班別 - Class *
家庭現況 Family
孩子的家中主要照顧者 Main Caregiver
家中排行 Siblings
孩子有無下列疾病 Medical Condition
孩子有無需要特別留意的身體狀況 Special Conditions
您從何處得知星苗 How did you get to know STAR Academy?
是否有兄弟姊妹就讀康乃薾教育體系? Siblings Studying at Korrnell? 請填寫兄弟姊妹的班級和姓名
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