Apply Form | Bangkok-Chicago Christian International School

BCCI APPLICATION FORM
曼谷芝加哥国际学校申请表

All information provided must be completed by parents and should be true and accurate.
所有信息必须由家长提供，表格填写应确保真实准确。

STUDENT INFORMATION
学生信息

😶‍🌫️Upload a recent photo of student
（学生近照上传）jpg, jpeg, png, webp, gif (Less than 2MB)

🧑‍🎓Student's Full Name (学生全名)

Last Name (学生姓氏)

First Name (学生名字)

🧑‍🎓English Nickname (if any) / 学生英文名（如有）

⭐Gender (性别)
Male 男Famale 女

📅Birthdate (生日)

🏠Nationality on Passport, Just select the flag
(护照国籍，选择左侧国旗即可)

🏠Current Address (学生当前的家庭地址)

Current Country:

Address Details:

Postcode:

🛐Religious Affiliation (宗教信仰)
Hindu 印度教Christian 基督教Islam 伊斯兰教none 无Others 其他

🎟️Interested Grade (申请入学年级)

🎟️Academic Year Interested (申请入学学年)

🎟️Preferred Semester (申请入学学期)

(For students aged 15 and above) What type of accommodation do you prefer?
（如学生15岁或以上）您希望选择哪种住宿方式？
Host family 寄宿家庭Living with parents 父母陪读

💬LINE ID for Admissions
您的LINE账号（招生官会与您联络)

💬WeChat ID for Admissions
您的微信账号（招生官会与您联络)

💬Others for Admissions
您的其他IM（招生官会与您联络)

FAMILY INFORMATION
家庭成员信息

1. Parent/Guardian Information 父母或监护人信息

🧑‍🎓Name (姓名)

💑Relation to Applicant (与申请学生的关系)
Father 父亲Mother 母亲Guardian 监护人

Occupation (职业)

🏠Nationality on Passport, Just select the flag
(护照国籍，选择左侧国旗即可)

Home Address (only if different from student) 居住地址 (若与上一页学生地址不同)

Phone Number (select the national flag, no spaces between the numbers)
联系电话(先选国旗，数字之间不要有空格)：

📧Your Email (你的电邮)

2. Parent/Guardian Information 父母或监护人信息

🧑‍🎓Name (姓名)

💑Relation to Applicant (与申请学生的关系)
Father 父亲Mother 母亲Guardian 监护人

Occupation (职业)

🏠Nationality on Passport, Just select the flag
(护照国籍，选择左侧国旗即可)

Home Address (only if different from student) 居住地址 (若与上一页学生地址不同)

Phone Number (select the national flag, no spaces between the numbers)
联系电话(先选国旗，数字之间不要有空格)：

📧Your Email (你的电邮)

3. Sibling Information 兄弟姐妹信息

Does the applicant have siblings? 学生是否有兄弟姐妹？
Yes 有No 无

Provide their names, ages, and schools 请提供他们的姓名，年龄和所在学校

ACADEMIC INFORMATION
学业情况

Why do you wish to enroll your child in Bangkok Chicago Christian International School (BCCI)?
您为什么希望孩子进入曼谷芝加哥国际学校(以下简称BCCI)？

Is the student currently enrolled in any school?
该学生目前是否就读于任何学校?
Yes 是No 否

If no, please provide a brief explanation. 如果没有，请简要说明。

Most Recent School Attended 目前就读的学校名称

From 入学日期

To 结束日期

School Program 授课语言
Thai program 泰语教学Chinese program 中文教学Bilingual program 双语教学English program 英语教学Others 其他
Current Grade 目前就读年级

Language Spoken at Home 在家使用的语言
English 英语Thai 泰语Mandarin Chinese 汉语普通话Other Chinese dialects 其他汉语方言Others 其他

1. Has the student ever repeated a grade? 学生是否留过级？
Yes 是No 否

2. Has this student ever been suspended, expelled or asked to withdraw, from any school for anyreason?
学生是否曾因任何原因被停学或退学？
Suspended 停学Expelled 开除Asked to withdraw 勒令退学None 均无

If suspended, expelled, or asked to withdaw is checked, please provide a brief explanation.
如果选了休学，开除，或退学，请简要说明。

3. Has this student ever asked to temporarily withdraw from school for any reason?
学生是否曾因任何原因主动申请暂时休学？
Yes 是No 否

If yes, please identify reasons. 如果选了是，请提供原因。
Health reasons 健康原因Finance reasons 财务原因Family reasons 家庭原因Other reasons 其它原因

4. Does the student have a learning disability?
学生是否有学习障碍?
Yes 是No 无

If yes, please provide a brief explanation. 如果有，请简要说明。

5. Has this student ever shown signs of a behavioral, social, or emotional problem, or receivedtreatment from a physician, psychologist, or counselor for a behavioral or social-emotional issue?
学生是否曾表现出有行为、社交、情绪问题的迹象，或曾因此类问题接受过心理辅导和治疗?
Yes 是No 无

If yes, please provide a brief explanation. 如果有，请简要说明。

6. Has this student ever abused drugs, alcohol, or tobacco, or been involved in any trouble with civilauthorities or the police?
学生是否曾滥用任何类型的毒品、酒精或烟草？是否接受过任何形式的民事或刑事处罚？
Yes 是No 无

If yes, please provide a brief explanation. 如果有，请简要说明。

Please provide any relevant medical information or other details that the school should be aware of.
请提供学校应了解的任何医疗或其他相关信息。

REFERENCES
推荐人

Please provide the email address of the student's current or previous teacher who can speak to the student's character andabilities. The reference should not be a relative or family member and must have known the student for at least six months.
请提供学生当前或之前一位教师的电子邮件地址。该推荐人应该能够评价学生的品格与能力。此人不得与学生有亲属关系，并且已经认识学生至少六个月。

🧑‍🏫Reference's Name 推荐人姓名

📧Reference's Email 推荐人电子邮件

💬Reference's Other Contact Methods (Phone, LINE, WeChat, WhatsApp)
推荐人其他联系方式 (电话, LINE, 微信, WhatsApp)

SUBMITTING THE APPLICATION
提交申请表

Do you and your child affirm that you will actively comply with the standards set forth in theStudent/Parent Handbook and other school expectations and policies?
您和学生是否承诺，将积极遵守《学生和家长手册》中的规定以及其它校纪校规？
Yes 是No 否

I hereby certify that the facts in this applications are true and complete to the best of my knowledge.
您是否确认，此申请表中所填的信息都是真实和完整的？
Yes 是No 否

Once the Cloudflare verification checkbox is selected, click Submit.
CLOUDFLARE验证打勾之后，再点Submit
(点击Submit按钮后，一定要看见按钮下方有绿色框框，显示“消息已发送成功”，才算表格递交成功了！！！)

BCCI APPLICATION FORM曼谷芝加哥国际学校申请表

STUDENT INFORMATION 学生信息

FAMILY INFORMATION 家庭成员信息

1. Parent/Guardian Information 父母或监护人信息

2. Parent/Guardian Information 父母或监护人信息

3. Sibling Information 兄弟姐妹信息

ACADEMIC INFORMATION 学业情况

REFERENCES 推荐人

SUBMITTING THE APPLICATION 提交申请表

BCCI APPLICATION FORM
曼谷芝加哥国际学校申请表

STUDENT INFORMATION
学生信息

FAMILY INFORMATION
家庭成员信息

ACADEMIC INFORMATION
学业情况

REFERENCES
推荐人

SUBMITTING THE APPLICATION
提交申请表