2010 YIS Summer's Cool Online Application June
 

1. Applicant Information

 
Thank you for applying to the YIS Summer's Cool program for children ages 4 - 11. For details regarding the program, please see our 2010 Summer's Cool brochure.

*
1. Student Name

*
2. Student's Date of Birth

 MM DD YYYY 
Date of Birth
/
/
 

*
3. Date of Application

 MM DD YYYY 
Date of Application
/
/
 

*
4. Is the applicant currently enrolled at YIS?

5. If not currently enrolled at YIS, what school does the applicant currently attend? (Note: A copy of the applicant's most recent report card is also required as part of this application, as is a Health History survey form, which may be obtained from the YIS school office.)

*
6. What is the applicant's current grade level at YIS or other international school? (Please note that students will be placed in their current grade level.)

*
7. Has the applicant had any history of learning, social or emotional difficulties in school or at home?

*
8. How would you rate the applicant's ability to communicate in English?

*
9. How would you rate the applicant's ability in Mathematics?

*
10. Name of Parent or Guardian

*
11. Parent email address

*
12. Home telephone

13. If the applicant is not a YIS student, please provide parent contact information below. Please include mailing address, home phone number, email address and mobile phone number.