Student Application Form A3 Short Student Application STUDENT DETAILS Student Name * Student Name First Name First Name Family Name Family Name Student passport number * Please upload a "head & shoulders" photo of the applicant student * Drop a file here or click to upload (File type: jpg or png) Choose File Maximum file size: 2MB Nationality * AfghanAlbanianAlgerianAmericanAndorranAngolanAnguillanArgentineArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBenineseBermudianBhutaneseBolivianBotswananBrazilianBritishBritish Virgin IslanderBruneianBulgarianBurkinanBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCayman IslanderCentral AfricanChadianChileanChineseCitizen of Antigua and BarbudaCitizen of Bosnia and HerzegovinaCitizen of Guinea-BissauCitizen of KiribatiCitizen of SeychellesCitizen of the Dominican RepublicCitizen of VanuatuColombianComoranCongolese (Congo)Congolese (DRC)Cook IslanderCosta RicanCroatianCubanCymraesCymroCypriotCzechDanishDjiboutianDominicanDutchEast TimoreseEcuadoreanEgyptianEmiratiEnglishEquatorial GuineanEritreanEstonianEthiopianFaroeseFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarianGreekGreenlandicGrenadianGuamanianGuatemalanGuineanGuyaneseHaitianHonduranHong KongerHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhKenyanKittitianKosovanKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLiechtenstein citizenLithuanianLuxembourgerMacaneseMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMartiniquaisMauritanianMauritianMexicanMicronesianMoldovanMonegasqueMongolianMontenegrinMontserratianMoroccanMosothoMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNigerienNiueanNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPitcairn IslanderPolishPortuguesePrydeinigPuerto RicanQatariRomanianRussianRwandanSalvadoreanSammarineseSamoanSao TomeanSaudi ArabianScottishSenegaleseSerbianSierra LeoneanSingaporeanSlovakSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSouth SudaneseSpanishSri LankanSt HelenianSt LucianStatelessSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadianTristanianTunisianTurkishTurkmenTurks and Caicos IslanderTuvaluanUgandanUkrainianUruguayanUzbekVatican citizenVenezuelanVietnameseVincentianWallisianWelshYemeniZambianZimbabwean Date of Birth * Gender for residential use * Male Female Ethnicity * Please select one optionPrefer not to sayAfricanArabBangladeshiBritishCaribbeanChineseIndianIrishPakistaniRomaWhite and AsianWhite and Black AfricanWhite and Black CaribbeanAny other Asian backgroundAny other Black, Black British, or Caribbean backgroundAny other ethnic groupAny other Mixed or multiple ethnic backgroundAny other White background Student's first language * Please select one languageAfrikannsAlbanianArabicArmenianBasqueBengaliBulgarianCatalanCambodianChinese (Mandarin)CroationCzechDanishDutchEnglishEstonianFijiFinnishFrenchGeorgianGermanGreekGujaratiHebrewHindiHungarianIcelandicIndonesianIrishItalianJapaneseJavaneseKoreanLatinLatvianLithuanianMacedonianMalayMalayalamMalteseMaoriMarathiMongolianNepaliNorwegianPersianPolishPortuguesePunjabiQuechuaRomanianRussianSamoanSerbianSlovakSlovenianSpanishSwahiliSwedishTamilTatarTeluguThaiTibetanTongaTurkishUkranianUrduUzbekVietnameseWelshXhosa Please select the course you wish to attend. The fully inclusive fee per student (excluding travel) is listed below course selection: * Course choice * Course 1 - Friday 5th July to Monday 29th July 2024 Cost of course: £6,450 Course 2 - Friday 12th July to Monday 5th August 2024 Cost of course: £6,450 Do you know anyone else who is planning to join this course? PARENT/GUARDIAN DETAILS PARENT/GUARDIAN 1 Title (Mr, Mrs, etc.) * First Name * Last Name * Relationship to student * email: For all contact during GISS * A copy of this Application Form will be sent to this address. Confirm email: For all contact during GISS * Mobile no: For all contact during GISS * PARENT/GUARDIAN 2 Title (Mr, Mrs, etc.) First Name Last Name Relationship to student email: Confirm email: Mobile no: Home mailing address (Please fill in ALL lines/fields - type n/a if Not Applicable) * Home mailing address <i>(Please fill in ALL lines/fields - type n/a if Not Applicable)</i> Home mailing address <i>(Please fill in ALL lines/fields - type n/a if Not Applicable)</i> Home mailing address <i>(Please fill in ALL lines/fields - type n/a if Not Applicable)</i> City City State/Province State/Province Zip or Postal code Zip or Postal code Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Alternative contacts in case of emergency We always try to reach parents first; in case we cannot reach you please give different contact details to the ones listed above. Name * Relationship to student * Mobile number * email * CHOOSE ONE STUDY CHOICE Study choices (1st choice) * English as an Additional Language (E.A.L.) (ages 8-16) Computing (ages 8 -16) Literature & Creative Writing (ages 8-16) International Citizenship (ages 13-16) Our Natural World (ages 8-12) Social Enterprise and Social Entrepreneurship (ages 13-16) Study choices (alternative choice) * English as an Additional Language (E.A.L.) (ages 8-16) Computing (ages 8 -16) Literature & Creative Writing (ages 8-16) International Citizenship (ages 13-16) Our Natural World (ages 8-12) Social Enterprise and Social Entrepreneurship (ages 13-16) Please note: The alternative choice option is just in case your first choice is not available. You will be asked to provide an assessment of your child’s ability in English at a later date. Please let us know If the student has attended the summer school at Gordonstoun before, please state which year(s). If this application is made via an agency, please complete the agent information below: Agency Name Agent Title Agent First Name Agent Family Name Agent Tel No. Agent email: Consent and Signature Please confirm that you agree to Gordonstoun International Summer School retaining this personal data in compliance with the School's current GDPR policy, and that we may use this information as necessary to process this application. * I confirm Please confirm that you have read, understood and agree to the Gordonstoun International Summer School, Terms and Conditions. * I confirm Name of Parent/Guardian completing this form * Name of Parent/Guardian completing this form First First Last Last Date * Submit application to GISS If you are human, leave this field blank. Δ
