Student Admission Application Form

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Name *

First

Last

Preferred Name (if different)

First

Last

Grade TIA:

Date of Birth（DD/MM/YYYY） *

Email *

Gender *— Select Choice —MaleFemale

ID Number: *

Previous Schools (last 3 years): *

E.g School: _________________________ Period: ______ to ______

Standardized Tests Taken:

E.g Recent Scores（IGCSE,AS）: Subject: _________ Score: _________ Date: _________

Proposed Academic Track at TIA: *A-Level (UK Curriculum)Advanced Placement (AP – US Curriculum)Blended Program

Intended Grade Level: *— Select Choice —101112

Submit

Submit Completed Application To:

Admissions Office
Terravine International Academy
Email: admissions@terravineacademy.com | Tel: +86-021-6888-3256
Applications processed within 1 business days of document completion