預約參訪登記表 ● 為維護教學品質,，並確保校園安全，校園參訪採預先登記制。 ● 本次參訪時段: 2023/05/03(星期三) 上午 9:00。完整學校介紹及校園參訪導覽歷時約一個小時。 ● 因名額有限，若上述參訪時段人數額滿，本校將擇期安排參訪活動。 ● 本校保留隨時修改、變更、暫停或終止本參訪活動之權利。 註：本表單並不是入學報名表單。若要申請入學，請至 入學報名表 填寫表單。 Student Information 學生資料 Chinese Name 中文姓名 * English Name 英文名字 Gender 性別 * Male 男Female 女 Date of Birth 生日(西元年/月/日) * Expected Start Date 欲就讀西元年月 Current Grade 目前就讀年級 * 2-3 years old 幼幼班3-4 years old 小班4-5 years old 中班5-6 years old 大班Grade 1 一年級Grade 2 二年級Grade 3 三年級Grade 4 四年級Grade 5 五年級Grade 6 六年級 Current School 目前就讀學校 Has your child learned English? 孩子是否學過美語? * Yes 是No 否 Where does your child learn English? 在哪學習美語? How long has your child learned English for? 學習美語期間為何? Have you ever attend LUYA Briefing Session? 是否參加過LUYA的入學說明會? * Yes 是No 否 Questionaire 請完整回答下列問題 Describe your child’s strengths. 請描述孩子的優點/強項 * What are your child’s interests/hobbies? 請問孩子的興趣/嗜好為何? * What do you expect your child to gain from our program? 請問您期望孩子在本校學習到什麼? * Is there anything else you would like us to know about your child? 請填寫其他欲提供給我們的資訊 How did you hear about LUYA Academy? (multiple selections) 請問您是從何處取得/得知LUYA? * Online/TV Commercials 網路或電視廣告Referral from Friend/Family 親朋好友推薦Facebook Fans Page 臉書粉絲頁LINE Official Account LINE官方帳號Official Website LUYA官方網站Instagram LUYA IG帳號LUYA Posters 宣傳海報Others 其他 Please fill in the box below with the referrer's (child's) name or how you first heard about LUYA 請將介紹人(或其子女)姓名, 或您首次得知LUYA的方式填寫於下方空格 Guardian Information 家長/監護人資料 Guardian-A's Name 監護人-1姓名 * Relation to Child 與學生關係 * Father 爸爸Mother 媽媽Grandparents 祖父母Other 其他 Mobile Phone 監護人-1手機 * Guardian-A's Email 監護人-1電子郵箱 * Occupation-A 監護人-1職業 * Guardian-B's Name 監護人-2姓名 Relation to Child 與學生關係 Father 爸爸Mother 媽媽Grandparents 祖父母Other 其他 Mobile Phone 監護人-2手機 Guardian-B's Email 監護人-2電子郵箱 Occupation-B 監護人-2職業 Address 詳細地址 Availability for Calls 方便電聯時間 * 10:00 AM-12:00 PM02:00 PM-05:00 PM07:00 PM-09:00 PM By clicking “SUBMIT 確認提交” above, I/we affirm that I/we have included all the relevant and necessary information that may affect this student’s educational performance and progress. I/We understand that this information is to be reviewed only by the Admissions Committee to evaluate LUYA Academy’s ability to appropriately meet the educational needs of this student. Further, I/we understand and accept that falsification, deception, or omission in any aspect of the application process may result in an immediate review and possible revocation of admission. Your browser does not support JavaScript!. Please enable javascript in your browser in order to get form work properly.
