APPLICATION FOR ADMISSION
GENERAL INFORMATION: (please print clearly)
◆ STUDENT Application for Grade: _____ Application for School Year ____
Surname: _____________________________ First name: ______________________ Sex (m/f): _______
Nationality/ies: _____________________________________ Date of Birth: Day _____ Month _____ Year ____
Social Insurance No.: _________________________ Place and Country of Birth: ___________________________
Address: ______________________________________________________________________________________
______________________________________________________________________________________________
Student Telephone: _________________________ E‐mail: ____________________________________________
◆
FATHER
Title: _______ Name: ________________________________ Nationality/ies: ____________________________
Private Address (if different from STUDENT): _________________________________________________________
Date of Birth: Day _____ Month _____ Year ____
Private Tel: ________________________ Mobile: _____________________ Work Tel: ____________________
Private E‐mail: ________________________________ Business E‐mail: _________________________________
Occupation: ____________________________________ Employer: _____________________________________
Work Address: _________________________________________________________________________________
_____________________________________________________________________________________________
◆
MOTHER
Title: _______ Name: ________________________________ Nationality/ies: ____________________________
Private Address (if different from STUDENT): _________________________________________________________
Date of Birth: Day _____ Month _____ Year ____
Private Tel: ________________________ Mobile: _____________________ Work Tel: ____________________
Private E‐mail: ________________________________ Business E‐mail: _________________________________
Occupation: ____________________________________ Employer: _____________________________________
Work Address: _________________________________________________________________________________
______________________________________________________________________________________________
Danube International School Vienna GmbH, Josef‐Gall‐Gasse 2, 1020, Vienna 1
Tel: 01 720 31 10 Fax: 01 720 31 10 40,
[email protected], www.danubeschool.com
◆
FAMILY SITUATION
Child lives with: __________________________________________
Emergency Contact (if parents are not available) Name: _______________________________________________
Telephone: ________________________________ Relationship to child: ________________________________
◆
OTHER CHILDREN IN THE FAMILY
st nd rd th
1 Child 2 Child 3 Child 4 Child
First Name
Year of Birth
Present School
◆
PREVIOUS SCHOOLS ATTENDED
School Name City and Country from to Class
Reason for leaving most recent school: _____________________________________________________________
Recent reports, transcripts and results of any educational or psychological tests must be attached to
this application as well as two recent photos.
◆
CONDITIONS OF ADMISSION AND ATTENDANCE
I understand and accept the financial policies and requirements of Danube International School Vienna.
I understand and accept my responsibility in supporting the school´s stated vision, mission and aims.
I understand and accept that parents play an important role in ensuring their child abides by school rules and
requirements.
I understand and accept that parent and student data will be stored and used as part of regular school procedures.
I understand and accept that my contact details will be passed to the representatives of PADIS (Parent Association).
I understand and accept that images of my child may be used in school publicity materials.
I understand and accept that the school acts in loco parentis and I hereby authorise the school to take
appropriate action in the event of an emergency.
I understand that the school may contact my child’s previous school(s) for reports and I give permission for these to
be obtained (you may also be required by your previous school(s) to authorise this).
I understand that the application fee covers the costs of the placement test and the application process and
must be paid within 14 days of the application and before the placement test is conducted.
I understand that the enrolment fee and the security deposit must be paid within 14 days of the offer of a place, but
in any case before commencement. If no enrolment fee is paid then the place may be offered to another student.
I hereby deregister my child from religion lessons for the duration of my child’s stay at DISV.
…………………………………… …………………………………………………….. ……………………………………………………….
Date Signature of Parent/Legal Guardian Print Name
Danube International School Vienna GmbH, Josef‐Gall‐Gasse 2, 1020, Vienna 2
Tel: 01 720 31 10 Fax: 01 720 31 10 40,
[email protected], www.danubeschool.com
Please attach a recent student photo:
STUDENT
The school also requires a copy of the student passport/ID and that of the PHOTO
parents / legal guardians. Please attach these to the application form.
LINGUISTIC / CULTURAL PROFILE
◆
Native Language(s) – i.e. the language associated with the heritage and culture you come from, even if
it is not the student’s best language: ____________________________________________________
The school may be able to arrange Mother Tongue lessons (at extra cost). If you are interested please ask for
an application form.
◆
Which languages are spoken at home?
Father: ___________________________________ Mother: ____________________________________
Sisters/Brothers: ____________________________ Au‐pair/babysitter:____________________________
◆
Which is the student’s best language? __________________________________________________
◆
Please mark below the languages the student has learnt:
a) English YES / NO if YES how many years of instruction ___________________
b) German YES / NO if YES how many years of instruction ___________________
c) Spanish YES / NO if YES how many years of instruction ___________________
d) French YES / NO if YES how many years of instruction ___________________
◆ What was the language of instruction in previous schools? ________________________________________
◆ Which countries has the student lived in and for how long? ________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
◆ Which cultural or religious festivals do you celebrate? ____________________________________________
________________________________________________________________________________________
◆
If there is anything else about the student´s linguistic / cultural background you think we should know,
please write it here. _______________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Danube International School Vienna GmbH, Josef‐Gall‐Gasse 2, 1020, Vienna 3
Tel: 01 720 31 10 Fax: 01 720 31 10 40,
[email protected], www.danubeschool.com
STUDENT INFORMATION
◆ Does he/she take medication on a regular basis? Yes / No If YES, please give details:
________________________________________________________________________________________
________________________________________________________________________________________
◆ Is the student allergic to any drugs, medicine, foods, etc? Yes / No If YES, please give details:
________________________________________________________________________________________
________________________________________________________________________________________
◆ Is he/she on any special diet? Yes / No If YES, please give details:
________________________________________________________________________________________
◆ Is there any reason he/she cannot participate in sports? Yes / No If YES, please give details
and please supply a doctor´s certificate stating the reason.
________________________________________________________________________________________
________________________________________________________________________________________
IMMUNISATIONS DATE RESULT BOOSTER DATE
Tuberculin Skin Test
Tuberculosis
Measles, Mumps, Rubella (MMR)
Diptheria
Tetanus
Polio
COVID-19 (please state type of vaccine)
HIB
Tick Shot
Hepatitis A and B
Whooping Cough
The school cannot give medicines, including aspirin etc. except under the direct supervision of a doctor. In case of
emergency, you will be contacted as quickly as possible. In the meantime, since the school stands in in loco
parentis, the school staff will act in the best interests of your child.
◆ Please detail any other health or student well‐being concerns (e.g. depression) of which we should be aware:
________________________________________________________________________________________
________________________________________________________________________________________
◆ Are you aware of any learning support needs (e.g. dyslexia, ADHD, motor skills) Yes / No If YES,
please give details:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Danube International School Vienna GmbH, Josef‐Gall‐Gasse 2, 1020, Vienna 4
Tel: 01 720 31 10 Fax: 01 720 31 10 40,
[email protected], www.danubeschool.com
