THE ADMISSION APPLICATION TO PRIVATE KINDERGARTEN …€¦ · Prywatne Gimnazjum nr 33 ul....

Prywatne Liceum

Ogólnokształcące nr 32

ul. Abramowskiego 4 02-659 Warszawa tel. 22 852 06 08

[email protected]

Prywatne Gimnazjum nr 33


[email protected]

Prywatna Szkoła Podstawowa

nr 95

ul. Abramowskiego 4 02-659 Warszawa

tel. 22 841 29 91 [email protected]

Międzynarodowe Przedszkole

Misia Paddingtona

ul. Górska 7 00-740 Warszawa tel. 22 841 15 72

[email protected]

THE ADMISSION APPLICATION TO PRIVATE KINDERGARTEN

PART I. Personal information about a child and his/her parents (guardians)

Child’s name……………...…………………………………………………………..

Child’s surname ...………..…………………………………………………………..

Date and place of birth ...………………………………………………………….....

Citizenship ….……...………………………………………………………………….

Home address …….………………………………………………………………….

District ………………………………………………………………………………....

Province ……………………………………………………………………………….

Postal address ……..…………………………………………………………………

District ………………………………………………………………………………...

Province ….. …………………………………………………………………………

Child’s registration number (PESEL) …………….....…………………………….

Contact information of child’s parents/guardians responsible for him/her (in case an emergency or an illness)

…………………………………………………………………………………………

…………………………………………………………………………………………

……………………………………...…………………………………………………

……………………………………...…………………………………………………

Prywatne Liceum



[email protected]



[email protected]


nr 95




Misia Paddingtona


[email protected]

Information about people entitled to take a child back home

Name and surname identity card’s number family relationship

…………………………………………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

Father’s (guardian’s) name and surname ……………………...…………………

Postal address ……………………………………………………………………….

Telephone number……………………………………………………………………

E-mail ...……………………………………………………………………………...

Mather’s (guardian’s) name and surname …………………………………………

Postal address ……………………………………………………………………….

Telephone number …………………………………………………………………

E-mail ...……………………………………………………………………………...

PART II. Information about a candidate

1. a) current child’s interests (the most favourite games, topics, etc.)

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

b) activities which a child doesn’t like or avoids

Prywatne Liceum



[email protected]



[email protected]


nr 95




Misia Paddingtona


[email protected]

…..………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

2. Child’s strengths

.................................................................................................................

…………………………………………………………………………………

…………………………………………………………………………………

.................................................................................................................

3. Child’s weaknesses (in which situations, what behaviours can be observed)

.................................................................................................................

.................................................................................................................

…………………………………………………………………………………

.................................................................................................................

4. Why did you choose our kindergarten?

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

5. What are your future plans concerning the next school and what time are they related to?

…………………………………………………………………………………

…………………………………………………………………………………

Prywatne Liceum



[email protected]



[email protected]


nr 95




Misia Paddingtona


[email protected]

…………………………………………………………………………………

6. What are your expectations regarding the kindergarten and teachers?

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

7. Other notes and information concerning a child (illnesses, dysfunctions, special food requirements) …………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

8. Special information about child’s situation at home which should be known by a teacher

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

…………………………………………………………………………………

I declare that I know the content of the status of Private Kindergarten I let / don’t let you expose my child’s photos on wall exhibitions, brochures and the website.

I let / don’t let you store my child’s pieces of work in portfolio which is open for general use.

I let / don’t let you store my child’s pieces of work in the kindergarten’s electronic data base.

I let / don’t let you send some of my child’s pieces of work and assessments

Prywatne Liceum



[email protected]



[email protected]


nr 95




Misia Paddingtona


[email protected]

to International Baccalaureate Organization in order to maintain constant monitoring of the quality of his/her work in the school.

………………….. ……………………….. ………………………..

Date and place Signatures of parents/guardians

THE ADMISSION APPLICATION TO PRIVATE KINDERGARTEN …€¦ · Prywatne Gimnazjum nr 33 ul....

Documents

Transcript of THE ADMISSION APPLICATION TO PRIVATE KINDERGARTEN …€¦ · Prywatne Gimnazjum nr 33 ul....