APPLICATION FORMS FOR STUDENTS SEEKING TO ATTEND A UNITED

WORLD COLLEGE

SECTION I: PRACTICAL INFORMATION

QUESTION I.1
PERSONAL INFORMATION
FIRST NAME
FAMILY NAME
GENDER
(MALE/FEMALE/OTHER)
NATIONALITY
DATE OF BIRTH
PLACE AND COUNTRY OF
BIRTH
PHOTO

[PLEASE INSERT A RECENT PHOTOGRAPH HERE]

QUESTION I.2
CONTACT DETAILS
STREET NR
POSTAL TOWN
CODE
E-MAIL
TELEPHONE MOBILE
 QUESTION I.3
PARENTAL INFORMATION
FATHER
FIRST NAME
FAMILY
NAME
STREET NR
POSTAL TOWN
CODE
EMAIL
TELEPHONE MOBILE
MOTHER
FIRST NAME
FAMILY
NAME
STREET NR
POSTAL TOWN
CODE
EMAIL
TELEPHONE MOBILE

QUESTION I.4
CURRENT SCHOOL DETAILS
NAME OF
SCHOOL
STREET NR
POSTAL CODE TOWN
TELEPHONE
GRADE (4TH/5TH)
COURSE (OFFICIAL NAME IN
ENGLISH, LUXEMBOURGISH,
FRENCH OR GERMAN)
NAME OF YOUR HEAD TEACHER
(KLASTITULARIS/ TITULAIRE DE
CLASSE)