18 Miotoni Ln, Karen, Nairobi, Kenya

full online application form

 

Instructions

  1. Download Health Evaluation Form Above & Have Your Physician Fill It Out
  2. Fill Out The Application Form Below
  3. Upload The Filled Student Health Evaluation Form In The Required Section

 

Pupils Details:

Pupils Full Name (First Middle Last)*

Name Used*

Grade and Date of Requested Entrance*

Bus Transport Needed?*
YesNo

Date Of Birth*

Sex*

Birth Place*
placeholder "City, Country"

Citizenship*

Passport Number*

Issue Date*

Expiry Date*

Passport Size Photo*

Authority to be in Kenya*
placeholder "Dependent Pass / Pupil Pass / Other"

Mailing Address*
placeholder "P.O. Box or Street Name and Number, City, Country"

First Language Spoken*

Language(s) Spoken at Home*

Father’s Information:

Fathers Name (First Middle Last)*

Phone number *

Your Email *

Citizenship*

Occupation*

Employer

Work Phone number

Employers Address
placeholder "P.O. Box or Street Name and Number, City, Country"

Mother’s Information:

Mothers Name (First Middle Last)*

Phone number *

Your Email *

Citizenship*

Occupation*

Employer

Work Phone number

Employers Address
placeholder "P.O. Box or Street Name and Number, City, Country"

Guardian’s Information (IF not living with mother or father):

Guardian’s Name (First Middle Last)*

Guardian’s Address
placeholder "P.O. Box or Street Name and Number, City, Country"

Guardian’s number

Guardian’s Email

Siblings Already Attending WNS

Type Each Sibiling Per Line (Name & Grade)

PREVIOUS TWO YEARS OF SCHOOLING

School 1

Name Of School

School Address
placeholder "P.O. Box or Street Name and Number, City, Country"

Grades

Dates


School 2

Name Of School

School Address
placeholder "P.O. Box or Street Name and Number, City, Country"

Grades

Dates

The Following Questions Do Not Necessarily Affect Enrolment

Has the applicant ever been suspended or expelled from school?*
YesNo

Has the applicant had any emotional, behavioural, and or lea
ing difficulties?*
YesNo

Has the applicant benefited from ESL/ELL in the past?*
YesNo

Ever had an IEP (Individualized Education Program), a 504 Plan, or similar?em>*
YesNo

Ever been diagnosed as having ADD, ADHD, Autism, or similar?em>*
YesNo

Any serious/chronic medical conditions the school should be aware of?em>*
YesNo

If the answer is “yes” to any question above, please explain and supply all diagnostic results, etc.

(Please note that WNS is able to admit children with minor lea
ing difficulties but does not have a program nor, personnel to care for children with serious lea
ing difficulties.)

REFERENCES and EMERGENCY CONTACTS (Other than Parents & within Nairobi when possible):

Reference 1

Name

Relationship

Home Phone *

Office Phone *

Mobile Phone *

Reference 2

Name

Relationship

Home Phone *

Office Phone *

Mobile Phone *

I give consent for WNS to include your child’s photo in our FB, Instagram and Twitter pages where we share some of the activities they participate in (Sports, Music and other events).em>*
YesNo

PLEASE NOTE:
Pupils are subject to discipline as may be necessary as defined in the Parent and Student Handbook. Parents shall read and sign the acknowledgement form in the Parent and Student Handbook. The use or possession of tobacco, illegal substances and/or alcoholic beverages is strictly forbidden.

All communications should be addressed to: West Nairobi School, P.O. Box 1333, Nairobi Karen 00502, Kenya or admissions@westnairobischool.org

IMPORTANT PAYMENT INFORMATION:

Person or Organization responsible for payment

Contact name and contact number

Contact email address

Parents’ Religious Affiliation (This information for statistical purposes only. WNS does not discriminate on basis of religion, national origin, or sex of a student.)

How or from whom did you hear about WNS? (Online (Website, Facebook, or Other Sites), Expo, Word of Mouth, EA Private Schools Guide, Other

SPECIAL NOTE:

Once a student is accepted to West Nairobi School a deposit shall be paid to reserve the students place. These deposits are non-refundable but will be fully applied towards tuition.

I hereby certify that the above particulars are correct. I am aware that the West Nairobi School follows the American course of studies. I permit my child full participation in all activities including religious instruction, which West Nairobi School includes in its curriculum. I expressly agree to allow West Nairobi School to contact my references and former schools. I understand my student may not be accepted and enrolled in West Nairobi School.

Parent/Guardian1 Sign & Date *

Parent/Guardian1 Sign & Date *

Upload Your Student Health Evaluation Form Here

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