APPLICATION FORM

American School of Douala

Application Form

STUDENT
First Name	Middle Name	Last Name
Date of Birth	Place of Birth	Sex
Nationality	Date of Enrollment	Countries child has lived in
English Language Proficiency
Spoken Written	Other Languages	Spoken Written
PARENTS INFORMATION
Father
Father's First Name	Middle Name	Last Name
Father's Occupation	Father's Employer (in full)	Nationality of Father
Father's office Telephone	Father's Email
Mother
Mother's First Name	Middle Name	Last Name
Mother's Occupation	Mother's Employer (In Full)	Nationality of Mother
Mother's Office Telephone	Permanent Mailing Address	Street Address in Douala
Home Telephone
SOMEONE WHO CAN TAKE RESPONSIBILITY FOR THE CHILD IF PARENTS ARE NOT AVAILABLE
Name	Address	Telephone

Name & Age of Sisters	Name & Age Brothers
Schools previously attended: (Please include Transcripts, test scores and letters of assessment from previous schools with translations)
1 Name of School	Exact Address	Grades FromTo
2 Name of School	Exact Address	Grades FromTo
If currently enrolled in another school in Douala, please state reasons for applying to American School of Douala

If no previous school experience, please state reasons for applying to American School of Douala

School Fees Paid by	Expected Duration of Assignment in Douala
Date	Father's Signature	Mother's Signature

Transcripts copies and map from the school to your house should be sent by email or dropped directly at the school office