APPLICATION FOR ADMISSIONS Instructions for Filling Application Form: Application Form includes 4 parts: 申請表包含以下資料Student Information / 學生資料Parent / Guardian Information / 家長/監護人資料School Information / 學校資訊Applicant Narrative / 申請人自我敘述 Please following step by step section to fill each part.(請按照步驟填寫)All mandatory fields are marked with red star.(紅色比填)After filling the complete form, click “Send” bottom to send your application.(按下 SUBMIT 寄出表單) Application Name / 學生英文姓名 Middle name Last Name Application Name / 學生中文姓名 姓氏 Nickname /別名 Address / 地址 City / 城市 Country / 國家 AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Republic of theCongo, Democratic Republic of theCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican City (Holy See)VenezuelaVietnamYemenZambiaZimbabwe ZIP / 郵遞區號 Phone / 電話 Date of Birth / 出生年月日 Place of Birth / 出生地 Citizenship / 國籍 AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Republic of theCongo, Democratic Republic of theCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican City (Holy See)VenezuelaVietnamYemenZambiaZimbabwe Present Grade / 目前就讀年級 Grade 7 / 國一Grade 8 / 國二Grade 9 / 國三Grade 10 / 高一Grade 11 / 高二Grade 12 / 高三 Program Interest / 選讀 Day Student / 日間課程—限台中縣市Full Boarding / 全時寄宿課程 Desired Date of Admission / 預計入學日期 January (一月)February (二月)March (三月)April (四月)May (五月)June (六月)July (七月)August (八月)September (九月)October (十月)November (十一月)December (十二月) Year / 西元年 2021202220232024202520262027202820292030 Email / 信箱 Name of Father / 父親姓名 Home Phone / 電話 Address / 地址 Title of Position / 職稱 Employer / 服務機構 Business Telephone / 公司電話 Business Address / 公司地址 Name of Mother / 母親姓名 Home Phone / 電話 Title of Position / 職稱 Employer / 服務機構 Business Telephone / 公司電話 Student lives with... / 學生目前同住者 Both Parents / 雙親Mother / 母親Father / 父親Other / 其他 Name of guardian other than parents / 非父母之監護人姓名 Address / 地址 Main Contact Person / 聯絡人 Telphone / 電話 Cell Phone / 手機 Name and ages of brothers and sisters / 兄弟姐妹姓名和年齡 Current School Name / 目前學校名稱 Name of School Headmaster / 校長姓名 School Address / 學校地址 School Telephone / 學校電話 Previous schools Name / 之前所念學校名稱 Dates Attended / 入學日期 School Address / 學校地址 Has the applicant ever been dismissed or suspended from school? / 休退學紀錄 NoYes If yes, state reason / 如有，原因是 What academic subject do you like the best? Why? / 最喜愛的科目？理由？ The least? Why? / 最不喜歡的科目？理由？ Do you participate in extracurricular activities? Athletics, Music, Art, Drama, Newspaper? Please list activities. / 你曾參加過的課外活動? 體育，音樂，美術，戲劇，刊物… ? 請加以列出 What are your special interest, hobbies, ect. / 特別的興趣、嗜好 Have you had any part-time or summer jobs? Please describe. / 工讀經驗? 請加以敘述。 How did you or your parents learn about Ivy Collegiate Academy? / 你或你的父母如何知道 ICA 訊息? In the remaining space, please discuss your future plans and what you wish to be doing ten years from now. (Include further education, career, and personal plans.) / 底下請你敘述你未來十年的規劃和你希望要做的事情，包括進一步的教育，生涯和個人計劃等。 Submit /送出
