Admissions & Online Application | International School in Costa Rica

APPLICATION FOR ADMISSION

Student Information:

Student Name(Required)

Date of Birth:(Required)

Age(Required)

Gender(Required)

Male

Female

Nationality(Required)

Passport #:(Required)

Birth Place:(Required)

Home Language:(Required)

Child's level of English language proficiency:(Required)

Child's level of Spanish language proficiency:(Required)

Proposed Date of Entry:(Required)

Proposed/Grade Level:(Required)

Exp. length of stay in CR:(Required)

Brothers and Sisters of Applicant:

Name

Age

Name

Age

Parents Information:

Father's Name:

Nationality:

Address:

E-mail address:

Home Phone:

Company:

Company Address:

Business Phone:

Job Title/Position:

Mother's Maiden Name:

Nationality:

Mother's Maiden Address:

E-mail address:

Home Phone:

Company:

Address:

Business Phone:

Job Title/Position:

Please indicate to which email address school correspondence should be sent:(Required)

PREVIOUS SCHOOL(S):

From:

To:

Grades:

School's name and address:

ENROLLMENT AGREEMENT

I,(Required)

Parent/Guardian

hereby enroll my child,(Required)

First Name | Last Name | Mother's Maiden Name

in the(Required)

grade

grade in Costa Rica International Academy, Guanacaste, Costa Rica,

I understand that this agreement will be automatically extended to cover my financial obligations to Costa Rica International Academy (CRIA) each time I re-matriculate my child at CRIA. I agree to assume full responsibility for the payment of my child's tuition and other related fees for the entire period of enrollment at CRIA.

I understand that I must pay a non-refundable tuition fee deposit upon enrolling my child at CRIA and that said fee is due again well in advance of the beginning of each new school year.

I understand that overdue bills are subject to a monthly 1.5% surcharge on the balance due on tuition and other related fees. Failure to pay an overdue bill after the second notice will result in the suspension of my child from classes until the bill is paid or de-enrollment at the end of the term. The tuition fee is not refundable.

I agree to accept the rules and expectations of the school for my son/daughter as outlined in handbooks and other communications of school staff.

I grant permission to the school for my child to participate in officially sponsored school events, including sports and field trips away from the school premises. I understand that I sign a Field Trip Permission Form at enrollment which will cover permission for all field trips during the year.

I agree that photos or videos of my child participating in academic, social and sporting events may be used for promotional materials. If I do not want my child's likeness used for these purposes, I will inform the School Director in writing.

I have read and fully understand and accept the above stipulations as conditions for enrolling my child in Costa Rica International Academy.

Parent's/Guardian's Signature:(Required)

Date:(Required)

Residence/Cédula/Passport:(Required)

Costa Rica Mailing Address:(Required)

Telephone #:(Required)

HEALTH AND EMERGENCY INFORMATION

Family Physician:

Office Phone:

Hospital of Preference:

Hospital de Liberia

Hospital de Nicoya

Clínica Los Ángeles

Clinic of preference:

Metropolitano

Beachside Clinic

HEALTH INFORMATION

Allergy:(Required)

Yes

Medicines / Food / Insects:

Life Threatening Allergies:

STUDENT’S MEDICAL HISTORY

Medical History

Comment (any items checked):

MEDICATION

Medicine taken at home every day:

Medicine taken at school every day:

If your child experiences fever and/or pain while at school, please indicate if the school is authorized to administer mild medication:

Yes

If yes, check the type below:

Tylenol / Panadol‎

Panadol Cold‎

Ibuprofen / Dorival‎

Otosedan Ear Drops‎

PeptoBismol / Tums‎

Other:

EMERGENCY CONTACTS

Please provide us with the names of two persons whom we should contact in your absence:

Contact 1

Name:(Required)

Relation:(Required)

Home Phone:

Work Phone:

Cellular Phone:(Required)

Contact 2

Name:

Relation:

Home Phone:

Work Phone:

Cellular Phone:

All reasonable attempts will be made to contact you or your emergency contacts in the case of an emergency. However, if we are unable to reach a parent of the emergency contact listed on this form, CRIA reserves the right to take your child to a nearby hospital or clinic in the case of an emergency.

Special Learning Needs

Costa Rica International Academy has the following resources to address the children with special needs:

Small Classrooms
Differentiated instruction
Supportive administration

Due to limited resources, we are not able to meet needs of all students with special learning needs. Acceptance of students with special learning needs will be determined on a case by case basis.

If your child has any special needs, please list them here:

If there are any behaviors associated with your child’s special learning needs, please list them here:

If your child is currently receiving accommodation at school, please list those accommodations here:

If your child takes medications for his/her special learning needs, please list the medication (s) here:

My child has an individualized Education Program (I.E.P):(Required)

Yes

If yes, please attach the I.E.P to your enrollment application.
(The report should not have more than 3 years)

Supporting Documents (transcripts, passport copies, birth certificates, etc.)

Drop files here or

Max. file size: 32 MB.

Signature of Parent(Required)

Date:(Required)

CAPTCHA

Admissions Form

APPLICATION FOR ADMISSION

Student Information:

Brothers and Sisters of Applicant:

Parents Information:

PREVIOUS SCHOOL(S):

ENROLLMENT AGREEMENT

HEALTH AND EMERGENCY INFORMATION

HEALTH INFORMATION

STUDENT’S MEDICAL HISTORY

MEDICATION

EMERGENCY CONTACTS

Special Learning Needs

Our Values