APPLICATION FOR ADMISSION (FORM 1) Student Information Sheet

Basic Student Information
Full Legal Name:
Family Name	First Name	Middle Name	Nickname
Current Grade :	Current School :
Grade Level Applying for:	School Year :
Is your daughter a returning Woodrose student?	Last grade level attended in Woodrose:
Is this your first application to Woodrose?

Date of Birth (mm-dd-yr):	Age:	Citizenship:	Religion:
Residential Address :
Mailing Address :
Residence phone no. :	Mobile No. :
Languages Spoken :	1st	2nd	3rd

School History and Developmental History
Past Schools Attended
Name of School	Grade Level/s Attended	School Year Attended

Scholastic Achievements
Awards, Citations, or Honors Received	Year	School
Extracurricular Involvement
Club or Organization	Position	School

What are my daughter’s interests?

History of Level Placement
My daughter has …	No	Yes	Grade Level
skipped a grade level
been accelerated
been retained

The next two sections- sections D and E- feature questions that are considered important by PAREF Woodrose School in ensuring the best school environment-student fit for your daughter, as well as identifying the necessary support and assistance that can and should be extended to her, in the event that she is admitted into the school. All responses will be kept highly confidential. PAREF Woodrose School encourages full disclosure by parents of their daughter’s critical developmental history for the reasons stated above.

D. Interventions Received or Recommended to My Daughter
Child Specialist	To improve on the following areas	Date/period of intervention	N/A
Developmental Pediatrician
Child Psychologist/Psychiatrist
Reading Specialist
Speech Therapist
Occupational Therapist
Physical Therapist
Ophthalmologist
SPED Tutor/Specialist
Others
*Note for parents: The Woodrose Guidance Center will coordinate with you for more information should you check any of the specialists above.

My daughter’s areas of strength and abilities

English Language Skills	Filipino Language Skills
Fluent	Limited	Beginner	Fluent	Limited	Beginner
Reading	Reading
Writing	Writing
Speaking	Speaking

Subject Area	Easy	Somewhat Difficult	Challenging	N/A
Reading
Language
Math
Science
Religion
Filipino
Social Studies
Music
Arts
Physical Education
Home Economics
Health
Computer
What made you decide to choose Woodrose as a potential school for your daughter?

How did you first come to know about Woodrose?
Others, please specify
Names of relatives in Woodrose or graduates of Woodrose if any

Children in PAREF and Non-PAREF Schools
Name	Age	Birthdate	Current School	Current Grade

I. Agreement

By signing below, we, the parents agree to the following:

All information provided is complete and correct. PAREF Woodrose School reserves the right to hold the application, admission, or enrollment status of an applicant in the event that the information given still needs to be verified or more information is required.

Parents will provide the supporting documents that are deemed necessary by PAREF Woodrose School to make the best judgment regarding the admission and other educational decisions related to the applicant. These documents may be- but are not limited to- psychoeducational reports, school records, individual education plans, progress reports etc.

Parents are authorizing PAREF Woodrose School to contact the applicant’s former school/s for the purpose of obtaining and/or verifying student records.

Data Privacy Policy. PAREF Woodrose School, Inc. (the "School") recognizes its responsibilities under Republic Act No. 10173, also known as the Data Privacy Act of 2012, its implementing rules, and other relevant laws and issuances. The School is thus committed to safeguard the privacy of your personal information as well as to comply with the provisions of the Data Privacy Act on the collection, use, storage, retention, disposal, access, disclosure and sharing of personal information. The information collected through this form will not be disclosed or distributed or shared with persons not authorized by PAREF Woodrose School, Inc. The information will only be used for the legitimate purposes of the School. The information will be discarded securely should there be no admission to the School. For concerns on data privacy please email privacy@parefwoodrose.edu.ph.

(Signed)	(Signed)
Father’s Name	Mother’s Name	Date Signed (mm-dd-yyyy)

NOTE: After accomplishing this form please save it in pdf format. Name the file with the surname + first name of the student applicant, ex. garciafelicity.pdf submit it online together with the other documentary requirements please make sure that all the documents to be uploaded are in pdf or jpeg format