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1. 2. 3. 4. 5. 6. 7. New Student English Language Information Form Please complete this form and return it to the DCIS Admissions Department. This form is an essential part of our school admis- sions process and will help us determine the correct setting and level of English support needed for your child. Please provide as much information and submit with your application. Name of student Date of birth Country of origin Start date Entry Year group (e.g. Year 1) Has your child studied English before? Yes No Has your child attended an English speaking school before? Yes No If your child has studied English before, please provide more information: a. Name of the course? b. How long have they studied English? c. What levels were achieved? d. Can you identify any of the curriculum books or reading text? Is your child proficient in the following (please tick): Oral Language Words Sentences Full conversation Reading Single words Sentences Books/Articles Writing Single words Simple Sentences Full paragraphs What languages are spoken at home? What is the main language? First language Second Language Is there anything else you think would be helpful for us to know? dd mm yyyy www.dovercourt.edu.sg Dover Court International School (Pte) Ltd is registered with the Committee for Private Education | CPE Registration No: 197100313E | Registration Period: 05/07/2019 to 04/07/2023 | The Committee for Private Education (CPE) is part of SkillsFuture Singapore (SSG) Updated 4th February 2021

New Student English Language Information Form 210204

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New Student English LanguageInformation Form

Please complete this form and return it to the DCIS Admissions Department. This form is an essential part of our school admis-sions process and will help us determine the correct setting and level of English support needed for your child. Please provide as much information and submit with your application.

Name of student Date of birth

Country of origin

Start date Entry Year group (e.g. Year 1)

Has your child studied English before?

Yes No

Has your child attended an English speaking school before?

Yes No

If your child has studied English before, please provide more information:

a. Name of the course?

b. How long have they studied English?

c. What levels were achieved?

d. Can you identify any of the curriculum books or reading text?

Is your child proficient in the following (please tick):

Oral Language Words Sentences Full conversation

Reading Single words Sentences Books/Articles

Writing Single words Simple Sentences Full paragraphs

What languages are spoken at home? What is the main language?

First language Second Language

Is there anything else you think would be helpful for us to know?

dd mm yyyy

www.dovercourt.edu.sg Dover Court International School (Pte) Ltd is registered with the Committee for Private Education | CPE Registration No: 197100313E | Registration Period: 05/07/2019 to 04/07/2023 | The Committee for Private Education (CPE) is part of SkillsFuture Singapore (SSG)

Updated 4th February 2021