ENGELSKA SKOLAN NORR APPLICATION/ANSΦKAN
Apply for grade/Sφker plats i εrskurs . .Starting year/Bφrjar εr
Name:
............................
............................................ .....................................
Family
name/Efternamn
First name/Tilltalsnamn Identity number/Personnr
Male/Pojke Female/Flicka
Address .. .................................................
Street/Gatuadress
Zip-code/Postnr
Postal address/Postadress
Home-phone/Hemtelefon........................................................
Parents
name/Fφrδldrarnas namn:
Mother:
.
..
.
Family name/Efternamn First
name/Tilltalsnamn Phone at
work/Arb.tel
Father:
.
..
Family name/Efternamn First
name/Tilltalsnamn Phone at
work/Arb.tel
Language/Sprεk:
Home-Language/Hemsprεk
.
English: yes .. no English as a second language yes . no Number of years
Engelska som andra sprεk ja . Nej Antal εr
School
history/Skolhistorik
Last completed grade/Sista avslutade klass ...........Currently attending grade/Nuvarande klass ...........
Language of instruction at the last school/Undervisningssprεk
i senaste skolan
........
Please list the name and address of the school attended. Be sure to include the dates of attendance and grade levels./ V.G. uppge namn och adress till senaste skola. Uppge δven under vilken period och vilka εrskurser barnet gεtt i skolan.
e-mail
application to: / e-posta ansφkan till:
info@esn.se