申請表 LUYA Academy 申請表 Please enable JavaScript in your browser to complete this form.Purpose 填寫申請表目的What is your main purpose for filling out this application form? 請問您填寫此申請表的主要目的? *I want to attend a LUYA admissions briefing. 參加入學說明會(日期待定)I want to apply for admission to LUYA. (I have already attended a LUYA admissions briefing.) 申請報名入學(已參加過說明會)Have you previously submitted an application form for LUYA Academy? 請問您是否有填寫過詳細資料(小學部申請表)? *Yes 已填過詳細資料No 未填過詳細資料Applicant Information 孩子基本資料Chinese Name 中文姓名 (請填寫之前填過的名字) *English Name 英文名字 (請填寫之前填過的英文名字) *Mobile Phone 監護人手機(請填寫之前填過的手機) *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 *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 has your child learned English from? 在哪學習美語?How long has your child learned English for? 學習美語期間為何?Questionnaire 請完整回答下列問題Describe your child’s strengths. 請描述孩子的優點/強項 *Describe your child’s growth edges (areas of challenge). 請描述孩子需要加強的部份 *What are your child’s interests/hobbies? 請問孩子的興趣/嗜好為何? *Describe how your child interacts with peers. 請描述孩子與同儕互動的情形 *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? (Select all applicable options) 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Other 其他Please fill in the box below with the referrer's (child's) name 請填寫介紹人(或其子女)姓名Guardian Information 家長/監護人資料Guardian-A's Name 監護人-1姓名 *Relationship to applicant 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'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Relationship to applicant 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's Email 監護人-2電子郵箱Occupation 監護人-2職業Address 詳細地址 *Supporting Materials 上傳影音連結或檔案Video Link 1 孩子的YouTube影片連結-1Video Link 2 孩子的YouTube影片連結-2Video Link 3 孩子的YouTube影片連結-3Attached File(s) 關於孩子的檔案文件(.pdf, .jpg, .doc, .mp4, .mp3) Click or drag a file to this area to upload. AgreementBy 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.Submit 確認提交
