US Diploma

Please select the school and grade you are enrolling in

Adriatic International (Podgorica)

Adriatic Open (Bar)

Adriatic Novi (Herceg Novi)

8 grade

9 grade

10 grade

11 grade

STUDENT INFORMATION

First name

Last name

Preferred Name

*Only to provide a first name if the name used by the student differs from the first name in their passport.

Student Date of Birth

Gender

Nationality

Place of Birth

First (native) language

Second language

PARENT/GUARDIAN INFORMATION:

Postal Code

(post index)

Address

(Street, House / Flat No., City, State, Country)

Parent/Guardian first name/s

Parent/Guardian last name/s

Relationship to student

Parent/Guardian Contact number/s

Parent/Guardian Contact email/s

TRANSITION SUPPORTS / LEARNING SUPPORT INFORMATION

Detail any support you think may be required for the student to make a successful and positive transition and any referrals that you may have made. Please answer the following questions listed below and provide any reports, individual education plans, or psychoeducational assessments to this form (if applicable). Disclosure of such information regarding the student’s learning needs is a required part of the application process.

Understanding

Fluent

Good

Basic

None

Speaking

Fluent

Good

Basic

None

Writing

Fluent

Good

Basic

None

Reading

Fluent

Good

Basic

None

How many years your child been instructed in and/or has studied in English?

What kind of English program and level of English was taught at the child’s previous school?

Is English spoken or practiced at home?

Is English practiced / instructed / spoken outside of the school realm?

Has the child had any form of previous online / distance learning this past year (and/or in previous years)?

Please provide name and contact details of the student’s previous school attended:

Is there any information that we should know about your child’s approaches to learning? Do they have any learning disabilities or are there learning requirements that we should be aware of?

Is there any additional information that would be useful for our team to know that would help us best support them as a student at our school in an online learning environment?

Previous academic transcripts

Copy of passport