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Welcome to Creative Learning School, Inc. Online Application!

INSTRUCTION :
(1) Please supply all information required.
(2) Type N/A if the information asked is not applicable to you.
NOTE: Fields with ( * ) are required.

Student Information

Classification/Preference

Student Classification: * Required

Preschool

Grade School

High School

Is this your first time enrolling in CLSI?

YES

NO

Student Information

Last Name :

First Name :

Middle Name :

Suffix:

Nickname :

Birthdate :

Entry Age :

Gender:

Nationality :

Type of Visa :

Religion:

Email Address:

Residence:

Mobile No.:

Landline:

Zip Code"

Mailing Address:

Last School Attended

Previous School Attended (other tan CLSI):

Year Attended :

Student's LRN :

Family Information

Father's Name :

Last Name :

First Name :

Middle Name :

Educational Attainment :

University/College :

Email Address:

Contact No.:

Religion:

Mother's Name :

Last Name :

First Name :

Middle Name :

Mother's Maiden Name :

Educational Attainment :

University/College :

Email Address:

Contact No.:

Religion:

Guardian's Name :

This is to authorize the above as guardian to my child :

Relationship :

Religion:

Name's of other children (if any) :

Special Information

PHYSIOLOGICAL/ HEALTH CONCENS * Required

Bronchitis

Heart Ailment

Hearing impairment

Asthma

Phobia

Speech Delay

Visual Impairment

Allergies

Surgery

Others

Is the child fit to attend a regular classroom setting? If not please explain.

Do you have any concerns regarding your child's behaviour or development (mental, physical, social) ? Please check thecondition/s * Required

Moves a lot

Easily distracted

Lacks focus

Others

Is your child undergoing therapy sessions? if yes, pls. state. * Required

YES

NO

Clinically diagnosed conditions (such as ADD, ADHD, ASD, learning Disability, Global Delay, etc.) * Required

YES

NO

Write any speacial consideration needed, if any (e.g. regular medication, etc.)

I hereby declare that the above data are true and correct and will abide by the school handbook, policies and guidelines.

Full Name :

Signature

Back

52 Santa Rosa St. Barangay Kapitolyo Pasig City

Tel no.: 02 8631 4401

Mobile nos. +63 917 8143735

Email: inquiries@clsi.edu.ph / clsi_pasig@yahoo.com.ph

Opening Hours

Monday-Friday 8:00 am - 4:00 pm

Saturday By Appointment

Sunday Closed

Download Application Data Sheet

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Welcome to Creative Learning School, Inc. Online Application!

INSTRUCTION : (1) Please supply all information required. (2) Type N/A if the information asked is not applicable to you. NOTE: Fields with ( * ) are required.

Student Information

Classification/Preference

Student Information

Last School Attended

Family Information

Father's Name :

Mother's Name :

Guardian's Name :

Special Information

I hereby declare that the above data are true and correct and will abide by the school handbook, policies and guidelines.

INSTRUCTION :
(1) Please supply all information required.
(2) Type N/A if the information asked is not applicable to you.
NOTE: Fields with ( * ) are required.