GVS Application Form

Global Village School Application Form
Please fill this form in online or request a print copy be sent to you. Your application can only be processed when ALL of the documents listed have been received.

You must also supply us with ALL of the following:
- A passport sized picture of the student
- A passport sized picture of each parent
- A copy of student's ID or Passport
- A copy of each parent's ID or passport
- A copy of the last two school reports
Date of Application

Day Month Year
Student Information
Name

First Name Last Name Nickname
Sex

Male Female
Grade

Kindergarten Grade1 Grade2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
Date of Birth

Day Month Year
Country of Birth
Nationality
Religion
Student's Mobile Phone Number

Area Code Phone Number
Student's Email
example@example.com
Number of Siblings
List siblings by name, sex, age, grade, school
What date will your child start at GVS?

Month Day Year
Date
How long will you be staying on Koh Lanta?
What date will your child finish at GVS? (Leave blank if unsure.)

Month Day Year
Date
Educational Background

Please complete as much as possible
Name of Last School
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Highest grade level achieved

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11
Date last attended school

Day Month Year
Date
Language of Instruction

English Thai Mandarin
Language History
Child's First Language

English Thai Mandarin
Mother's First Language

English Thai Mandarin
Father's First Language

English Thai Mandarin
Student's English Level (Listening)

Excellent Very little Good None
Student's English Level (Speaking)

Excellent Very little Good None
Student's English Level (Reading)

Excellent Very little Good None
Student's English Level (Writing)

Excellent Very little Good None
Student's Thai Level (Listening/Speaking)

Excellent Very little Good None
Student's Thai Level (Reading/Writing)

Excellent Very little Good None
Student's Mandarin Level (Listening/Speaking)

Excellent Very little Good None
Student's Mandarin Level (Reading/Writing)

Excellent Very little Good None
Family Information

Please provide a copy of parents’ business card(s) if possible.
Parents' Marital Status

Married Divorced Separated
Child lives with

Both parents Mother Father
Father's Information

(Or male guardian)
Relationship to child

Father Stepfather
Name

First Name Last Name Nickname
Nationality
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile Phone Number

Area Code Phone Number
Email
example@example.com
Type of Work
Work Phone Number

Area Code Phone Number
Would you be interested in (select as many as you would like to be involved with)

Volunteering to come on school Field Trips? Being a member of the Parents' Council? Volunteering at school events Reading to young students in the afternoon Help coach a team Donate books to the library
Mother's Information

(Or female guardian)
Relationship to child

Mother Stepmother
Name

First Name Last Name Nickname
Nationality
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile Phone Number

Area Code Phone Number
Email
example@example.com
Type of Work
Work Phone Number

Area Code Phone Number
Would you be interested in (select as many as you would like to be involved with)

Volunteering to come on school Field Trips? Being a member of the Parents' Council? Volunteering at school events Reading to young students in the afternoon Help coach a team Donate books to the library
General Information
Your child has (check only those which apply)

Music Abilities Sports Abilities Attended a program for gifted and talented children Been asked to leave a school due to discipline problem Been assessed by an educational psychologist due to learning difficulties Been assessed by an educational psychologist due to emotional difficulties Been in a learning support class Health or physical limitations Takes medication on a regular basis A food allergy An environmental allergy A dietary restriction due to religion or family practice
If any boxes are checked, please elaborate below, including as much detail as possible. We will also need to see copies of any relevant reports.
How did you find out about Global Village School? Please be as specific as possible, e.g. did you see a Google Ad or Facebook Ad, did someone mention us in a Facebook Group? If it was through a friend, please say who etc. This really helps us to assess and plan our marketing.
Medical Information
Weight (in Kg)
Height (in Cm)
Allergies or other relevant medical history
Please let us know if we may administer the following non-prescription drugs to your child if we feel it is necessary.

Medication for headache Medication for diarrhea Medication for motion sickness No medication whatsoever I wish to be called prior to the administration of any medication
My child has had the following immunization shots: (please consult your doctor if you are unsure)

Measles DTP (Diptheria, Whooping Cough, Tetnus) Poliomyelitis Mumps BCG (Tuberculosis) Typhoid Hepatitus A Hepatitus B Japanese Encaphilitus
If your child is missing any key immunization shots, please consult your doctor as soon as possible.
When was your child's last physical examination by a doctor? (It should be at least once per year).
When was your child's most recent eye examination? (We suggest at least once a year).
When was your child's most recent dental examination? (We suggest at least once a year).
Has your child had any major surgery or have a medical condition that the school should be aware of?
By Submitting this document, you are agreeing to allow us to contact the previous school for the purpose of obtaining school records. You are also certifying that the information you have provided here is truthful and complete.
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Global Village School Application Form

Student Information

Educational Background

Language History

Family Information

Father's Information

Mother's Information

General Information

Medical Information