The  International  School  of  Kuala  Lumpur  

MIDDLE & HIGH SCHOOL
Jalan Kolam Air
68000 Ampang, Selangor
Phone (603) 4259 5600
Fax (603) 4257 9044

 

ELEMENTARY SCHOOL
Jalan Melawati 3
Taman Melawati
53100 Kuala Lumpur
Phone (603) 4104 3000
Fax (603) 4108 4166

Towards  50  Years  of  Excellence  in  Education  
 

 
 
 
 
 

 

APPLICATION FOR ADMISSION

STUDENT INFORMATION

New student

E-mail admissions@iskl.edu.my
Website www.iskl.edu.my

Returning student
Please specify the year(s) attended

 
Name: _______________________________________________________________________

_________________________

Preferred Name for Student Directory: _____________________________________________

Gender (M/F): _______________

Family Name

First/Given Name

Middle Name

Date of Birth: ______________________ Nationality: __________________________
MM

/

DD

/

Grade Level Applying For

Passport No: ______________________

YY

Expected Date of Enrollment: _______________ (MM / YY)
Will the student be residing with the parents?

Father:

Yes

No

Mother:

Yes

No

If No, please provide name of Guardian and relationship to student:

_________________________________________________________________________________________________________
The student must reside with the guardian. The guardian is required to work in partnership with the school (monitor the student’s attendance and inform the school if
the student is absent, meet with teachers and counselors when required, etc.). He/she is responsible to notify the appropriate divisional office(s) should the guardianship
arrangement be changed or terminated. If the guardianship policy is not met, the student(s) may be asked to leave school.

SIBLING INFORMATION
DATE OF BIRTH
MM/DD/YY

NAME

APPLYING TO /
ATTENDING ISKL

CURRENT
GRADE

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

LANGUAGE BACKGROUND / INFORMATION
Student’s Native Language: _________________________

Student’s Other Language(s) Spoken: _________________________

Mother’s 1st Language(s): _______________________________

Father’s 1st Language(s): _______________________________

What language or languages are spoken at home?

Ÿ mother to student: ________________________________

Ÿ father to student: ________________________________

Ÿ student to mother: ________________________________

Ÿ student to father: ________________________________

Ÿ mother to father: _________________________________

Ÿ student to sibling/s: ______________________________

Ÿ caretaker (maid, nanny, babysitter) to student: _____________________________________________________________

FOR OFFICE USE:
Application received: _______________________________________

Date to begin: __________________________________

Student ID:

Family ID:

Issue  date:    8  May  2012  

_______________________________________

 

__________________________________

 

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medical conditions.STUDENT EDUCATIONAL BACKGROUND (Please provide comprehensive school history. Has the student ever been in a gifted and talented or honors program? Yes No If Yes.)? Yes No If Yes. beginning with the most recent school attended) NAME OF SCHOOL * DATES ATTENDED CITY/COUNTRY From ( MM/YY ) To ( MM/YY ) TYPE OF CURRICULUM (AMERICAN/ BRITISH. please specify year(s) _____________________________________________________________________________ 4. Has the student ever skipped a grade (double promotion)? Yes No If Yes. Does the student have any health concerns. psychological.. Does the student find adjusting to new situations difficult? Yes No If Yes. please provide details ______________________________________________________________________________ 5. ETC) LANGUAGE OF INSTRUCTION * The student’s present school has an academic year that runs from: _____________________ GRADE/ STANDARD/ FORM/ YR to: ______________________ (Month) (Month) Please indicate the type of grading period your child’s current school uses: Semester (2 terms) Trimester (3 terms) Quarter (4 terms) Other _____________________________________________________________________________________________ ADDITIONAL INFORMATION 1. please provide details ______________________________________________________________________________ (Please attach relevant reports and test results) 2. social or emotional support (e. and/or take any medications? Yes No If Yes. please provide details ______________________________________________________________________________ 9. please provide details ______________________________________________________________________________ 8. Has the student ever been in an English as an Additional Language (EAL) program? Yes No If Yes. etc)? Yes No If yes. please provide details ______________________________________________________________________________ 6. please provide details ______________________________________________________________________________ 10. Has the student ever repeated a grade level? Yes No If Yes.g. learning resource. speech. counseling. psycho-educational. Has the student had any assessments/evaluations (e. etc. what type of support has the student received? _________________________________________________________ (Please attach relevant reports and test results) 3. Has the student ever been asked to leave a school? Yes No If Yes. Other comments to assist the teacher: _______________________________________________________________________ __________________________________________________________________________________________________________ FOR MIDDLE AND HIGH SCHOOL STUDENTS: Please list extra-curricular activities: _____________________________________________________________________________ __________________________________________________________________________________________________________ Issue  date:    8  May  2012              Page  2  of  4   .g. Has the student been recommended for or received any academic.. please provide details ______________________________________________________________________________ 7.

S. Mother Mrs. Name: _____________________________________________ Date of Birth: ______________ Family Name First Name Middle Name Nationality: _________________ Are you an ISKL alumnus? ______ If so. Mr. affiliate? If Yes. Please update us with your new address as soon as you have established your local residence) _____________________________________________ Postcode: ______________ Home Phone: _____________________ Company Name (Local): ___________________________________________________________________________________ Parent Company: ________________________________________________________________________________________ Office Address (Local): ____________________________________________________________________________________ _____________________________________________________________________________ Postcode: ________________ Office Phone: __________________________ Direct Line: ________________________ Office Fax: _____________________ Type of Industry: ____________________________ Designation/Job Title: _________________________________________ Mobile Phone: __________________________ Email: _________________________________________________________ Is the company a U.PARENT / GUARDIAN INFORMATION Preferred mailing address for school correspondence (Please complete page 3 only once per family) Home Office: _______________________________ (If so. Company Name and Address: ___________________________________________________________________________ _______________________________________________________________________________________________________ BILLING INFORMATION Does either company above pay tuition fees: Yes If Yes. you may leave this section blank. please provide type: Yes No US Government US Dept. Please update us with your new address as soon as you have established your local residence.S. which year(s)? _________ Class of: _____________ (Even if graduated elsewhere) Home address (Local): ____________________________________________________________________________________ (If not available. affiliate? If Yes. Information of: Dr. which year(s)? _________ Class of: _____________ (Even if graduated elsewhere) Home address (Local): ____________________________________________________________________________________ (If not available. Information of: Dr.S. Name: _____________________________________________ Date of Birth: ______________ Family Name First Name Middle Name Nationality: _________________ Are you an ISKL alumnus? ______ If so. of Defense Private Company Contracted to US Gov agency U. Mr. please provide type: Yes No US Government US Dept. Company Name and Address: ___________________________________________________________________________ _______________________________________________________________________________________________________ 2 . Father Mrs. you may leave this section blank. which parent?) 1 . Step-Father Guardian Ms. what percentage of fees does the company pay? Billing address: Home No Which parent? _______________________ _______________ Office If billing should be sent to another person/address. Step-Mother Guardian Ms. please provide information below: Name: ___________________________________________________________________________________________________ Address: _________________________________________________________________________________________________ _________________________________________________________________________________________________________ Issue  date:    8  May  2012              Page  3  of  4   .) _____________________________________________ Postcode: ______________ Home Phone: _____________________ Company Name (Local): ___________________________________________________________________________________ Parent Company: ________________________________________________________________________________________ Office Address (Local): ____________________________________________________________________________________ _____________________________________________________________________________ Postcode: ________________ Office Phone: __________________________ Direct Line: ________________________ Office Fax: _____________________ Type of Industry: ____________________________ Designation/Job Title: _________________________________________ Mobile Phone: __________________________ Email: _________________________________________________________ Is the company a U. of Defense Private Company Contracted to US Gov agency U.S.

I/We agree that it is my/our obligation to ensure that the fees due are paid on time. I/We agree that ISKL reserves the right. I/We agree to subscribe to the communication systems utilized by ISKL for emergency and routine communication and abide by ISKL’s acceptable use policies for technology use. to discontinue the enrollment of a student at any time if it becomes evident that ISKL was misinformed regarding any application documentation or it becomes evident that ISKL does not have the resources to address successfully the individual needs of that student. including excursions/ field trips arranged by ISKL. or where medical investigative measures are deemed necessary by school policy or the Head of School. following admission. along with evidence of required immunizations are provided to ISKL within the stipulated period. management. I/We hereby agree to the following conditions of enrollment: I/We agree to accept and support the Mission and Vision of ISKL and be bound by the rules governing ISKL. Signature: _______________________________________ Date: _____________________________ Parent / Guardian Issue  date:    8  May  2012              Page  4  of  4   . If this applicant is successful. concise guidelines is consistent with our mission and vision. which covers medical expenses up to RM10. I/We agree that student photographs. I/ We agree to pay all fees as detailed on fee invoices and I/We understand that failure to pay on or before the requested date has consequences. I/We agree that my Middle School/High School child will participate in ISKL’s mandatory drug testing program. I/We agree to indemnify and hold harmless ISKL and its directors. I/We agree that ISKL may at its discretion. Having clear.AGREEMENT BETWEEN THE INTERNATIONAL SCHOOL OF KUALA LUMPUR (ISKL) AND PARENTS/GUARDIANS It is vitally important to us at ISKL to facilitate safe. I/We agree to have our contact details published in the ISKL directory unless otherwise notified by us in writing to ISKL. I/We agree that ISKL will initiate emergency measures in the event of an accident or illness with the understanding that I will be notified as soon as possible. Our campuses and off campus events provide pleasant and stimulating venues where each student has the optimal opportunity to learn and reach his/her respective potential. as well as for other serious breaches of ISKL’s rules and regulations.000. and staff in respect of any liability arising from school activities and further recognize my/our responsibility to obtain personal accident insurance coverage for our said child in addition to that provided by ISKL. to involve themselves in ISKL’s activities. The following expectations/agreements are presented with the above in mind. I/We agree that my child will participate in all external assessments ISKL utilizes to make individual and school-wide instructional and program decisions. limits surprises and enhances learning. I/We agree to accept and be bound by the rules governing health and medical requirements for the safety of all students and faculty at ISKL. It is our obligation to ensure that evidence of required medical examinations. regardless of whether a letter from a company or organization is provided clearly accepting its full liability for fee payments. the authority of the Head of School and the Board of Directors. Your cooperation and encouragement will assist us to provide an exceptional education to your students. images and recordings can be used for school marketing materials. such discipline they regard as necessary or expedient for the student in accordance with the guidelines set down in ISKL’s divisional handbooks. I/We agree that ISKL has a position “in loco parentis” and as such the teacher can exercise on behalf of parents. I/We understand and accept that students may be required to undergo further medical emergency and/or safety precautionary measures during times of disease outbreak. I/We desire to enroll _______________________________________________________________________ as a student at the Family Name First/Given Name Middle Name International School of Kuala Lumpur. secure and caring environments on both of our campuses and during all school activities. suspend or terminate a student’s enrollment for failure to comply with the conditions of this Agreement. which include the possible exclusion of my child from attending ISKL. I/We agree to allow my child.