Student Information

    Student's legal name(s)*
    Students family name*
    Students chosen first name
    Date of birth*
    Nationality( valid passports held )*
    Town and country of birth*
    Gender
    MaleFemaleOther
    Name of current school and Year/Class/Grade*
    Name of Head Teacher*
    Date of arrival in Belgium*

    Family Information

    Parent 1’s/ Guardian 1’s details

    First name(s)*
    Family name*
    Relationship to child*
    Nationality*
    Mother tongue*
    Company
    Profession/job title*
    Email*
    Mobile number*
    Work Number*

    Parent 2’s/ Guardian 2’s details

    First name(s)*
    Family name*
    Relationship to child*
    Nationality*
    Mother tongue*
    Company
    Profession/job title
    Email*
    Mobile number*
    Work Number
    Family Details
    MarriedCohabitingDivorcedSeperated
    Home Telephone
    Name(s), ages and gender of other children in the family (Please indicate if they already attend BSB)

    MaleFemaleOther
    Do they attend BSB?

    Home Address*

    School History

    Has your son/daughter been involved in any behaviour incident that has resulted in the following:*
    School History





    General/personal interests:*
    Social skills:*
    Student’s strengths in school e.g. academic, artistic, sporting etc.:*
    Please describe possible support that may be needed, for example: • any developmental delays such as speech, hearing, sight, motor skills? • any professional diagnosis such as dyslexia? (please provide details) • any work done by your child with a professional such as a therapist, counsellor or psychologist? Please note that failure to disclose this information could result in the withdrawal of an offer of a place or removal of a place at a later date.*
    Medical matters and ‘need to know’ information such as any special, or recent change to your family circumstances:*

    Your child’s knowledge of language(s) – Mother tongue first followed by additional languages

    Your child’s knowledge of language(s) – Mother tongue first followed by additional languages.


    Able to readAble to write

    Languages
    I would like to apply for a place in the bilingual programmeDoes your child speak either/both of these languages at home? (please specify)Is your child currently in a bilingual class or dual language programme? (please specify the languages)
    (Specify Languages)

    Invoicing information

    Address for invoicing*
    Company VAT Number (if applicable)
    Tuition
    ParentsCompany
    Bus
    ParentsCompany
    Extras
    ParentsCompany

    Parent Engagement

    The application fee, which is non-refundable, should be paid on submission of an application form. Please note that this fee is an administrative fee and does not secure a place at BSB:

    • First child in the family: €1000.00
    • Each subsequent child, or a child moving to the main school from ‘Early Childhood Centre’: €500.00


    You will be asked to pay the fee by credit card when submitting this application form via the BSB website.

    Please note we cannot process an application unless the form is signed by the parent(s) or guardian(s) and it is accompanied by copies of your child’s latest school reports.


    I wish my son/daughter to be considered for entry to the school in:

    Entry Date*

    We kindly request that you also upload the following accompanying documents:

    • Copies of all school reports over the last 12 months
    • BSB request for school transfer information form (you will be provided this form by BSB which is
      to be completed by your child/rens current school Principal/Headteacher)
    • Copy of Additional Educational Needs/Learning Support assessment (if applicable)
    • Copy of valid passports held


    We reserve the right to request additional information if required


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