Please complete in BLOCK CAPITALS and using a BLACK INK before submitting this form.
Remember, the applicant and parent should sign off before submitting the form.
Copy of the student’s birth certificate (for new students)
Copy of the first page and last page of the student’s passport (Only applicable if birth certificate not available)
1 passport photo attached with the application form
School leaving certificate from previous school (for new applicants)
Original mark sheet from previous school of last class attended
The closing date for receiving applications is 30 August 2020
For AS/A level and IGCSE student, the school will check the grades from your previous school, to ensure that you are eligible for
a school place in the desired class group. Some subjects such as Science and Commerce may require a higher grade. Students
should check carefully the “2020 Entry Requirements for courses” with the school administration team.
All applicants will be considered equally
If you are not eligible (because of lack of grades or incorrect subject choice) your application will be refused. You are advised to
contact the admissions team for further guidance.
If you have any questions, please contact CHIS Admissions Officer on +265 998 74 07 43 or by email at firstname.lastname@example.org
If a student is offered a place on the basis of false or intentionally misleading information provided, the offer of the school
admission may be withdrawn.
If you no longer require a place, please contact the Admissions Team so that your place may be offered to another student.
(drop your .png or .jpg files here! max 1 MB each.)
Note: Incase the Digital copy of the photograph is not available then please print the filled admission form and attached the physical copy in the given area
*Class applied for
---Form 1Form 2Form 3Form 4Form 5A levels - ASA levels - A2
Note: If none of Medical conditions / Medical events / Description then please select none option. It's a mandatory.
Please choose from this list the group which most closely matches your child’s ethnic identity then write it in the space below
Expiry date of passport
Visa expiry date
Tuck shop meal
Known disabilities : No disability
Problems with mobility
Problems with hand function and dextenty
Problems with eating and drinking
Problems with medication
Problems with incontinence
Problems with communication
Problems with learning
Problems with hearing
Problems with vision
Problems with behavior
Problems with consciousness
Problems with ASD/Asperges
Problems with Palliative care need
Other disability/health problem
Problem with personal care
Learning support – Areas additional support is needed :
Vision and sight
Behaviour and self control
verbal and communication
Educational Diagnosis :
Parental consent :
Education from age 11 in date order (Applicable to all new students) i.e. Form 1 to A levels
Examinations already taken, or to be taken before joining Central High International School (Applicable to all new students) i.e. Form 1 to A levels
Subjects offered at Lower Secondary level: (Form 1 to Form 3)
This section is only for IGCSE Students (Form 4 & 5)
The remaining subjects should be chosen from the choices below:
A levels Entry requirements
Level applied for:(Please Tick (√)
School uniform should be worn tidily and correctly both at school and between home and school.
The full school uniform must be worn at all times. Shirts are to be tucked in. Trousers should be at
navel level, with a black belt. A neat, smart demeanor will be appreciated.
2.1) Where a situation arises concerning a student’s uniform, written requests of formal type for
the temporary wearing of non-regulation items must be referred to the headmaster or senior
2.2) Garments and accessories - Students are not allowed to wear jewellery in school, except a
normal watch. Jewellery of religious/cultural significance may be worn but should be covered at
all times. No piercings are allowed.
Any excessive jewellery/accessories found will be confiscated and kept in the possession of the
school for one term.
2.3) Hair styles - A student’s hair must be kept clean and tidy at all times. The length of the hair
should not be shorter than a ‘number 2’ razor cut. Hair should not be touching the collar and
should be off the face at all times. The style of the hair should not be extreme, included but not
limited to Mohawk, afro, shaved styles and/or patterns, hair tied up and braided. The colour must
be the students own natural colour; no dye nor highlights are allowed.
2.4) Students are not permitted to have visible tattoos.
2.5) Extreme make up must not be worn
Mobile phones are not permitted on school premises. If a student is found of possession of a mobile
phone, he/she will be sanctioned appropriately
We believe in a safe learning environment, free from all forms of bullying and harassment,
where community members treat one another with respect. Our Anti-Bullying and Harassment
Policy is central to these efforts.
It is designed to promote learning, eliminate all forms of violent, harmful, and disruptive
behavior, and to enable students to achieve their personal and academic potential.
We understand that certain students may be more vulnerable to bullying, harassment, hazing, or
teasing based on actual or perceived characteristics—including race, color, religion, age,
ancestry, national origin, sex, sexual orientation, socio-economic status, academic status,
gender identity, gender expression, genetic information, physical appearance, disability, or any
other classification protected under state law—or by association with a person who has or is
perceived to have these characteristics.
6.1) Harassment and Hazing: Harassment is any abuse of an individual or group based on race,
color, religion,age, ancestry, national origin, sex, sexual orientation, socio-economic status,
academic status, gender identity, gender expression, genetic information, physical appearance,
disability, or any other classification protected under State Law. It includes both easily-identified
acts of oral, written, or physical abuse as well as other lessobvious but equally damaging forms
of harassment, such as remarks of “humor” or any behavior that contributes to the creation of a
hostile environment in which to live and learn.
Any incidents involving sexual or any other harassment, racial, religious, or ethnic intolerance,
physical injuries or threats, and fighting will be dealt with as disciplinary matters. Furthermore,
the school does not tolerate humiliating or potentially harmful “rites of passage” or “initiations,”
and such behaviors will be treated as disciplinary matters.
6.2) Bullying: Any written or verbal expression, physical acts or gestures directed at another
person to intimidate, frighten, ridicule, humiliate, or cause harm where the conduct is not related
to the person’s membership in a protected class (e.g., race, sex). Bullying may include – but is
not limited to–repeated taunting, threats of harm, verbal or physical intimidation, cyber-bullying,
pushing, kicking, hitting, spitting, or taking or damaging another’s personal property. Bullying is
a form of aggression that involves a power imbalance between the bully and victim, where the
bully has actual or perceived physical, social, and/or psychological power over his/her/their
target(s). Bullying generally involves a pattern of conduct that is directed at a victim, rather than
a single isolated incident. Bullying behavior may also constitute a crime.
6.3) Cyberbullying: Bullying through the use of technology or any electronic communication. It
includes—but is not limited to—any transfer of signs, signals, writing, images, sounds, data, or
intelligence of any nature transmitted virtually through electronic means. Cyber-bullying can
occur via e-mail, internet communication, social media app, instant message, or any other
electronic or network system. It also includes
(i) the creation of a web page or blog in which the creator assumes the identify of another person
or (ii) the knowing impersonation of another person as the author of posted content or messages,
if the creation or impersonation creates any of the conditions noted in the definition of bullying.
Cyber-bullying also includes the electronic distribution to more than one person—or posting of
material on an electronic medium accessible by one or more persons—if the distribution or
posting creates any of the conditions noted in the definition of bullying.
6.4) Discrimination: Respect for the rights of all and for the differences among us is essential
for the health of the Deerfield community. Discrimination against others has no place here. If a
student experiences or witnesses any discrimination by students or employees, they should
report the incident to the headmaster immediately. Such incidents violate the ideals of our school
and thus require a strict disciplinary response.
6.5) Sexual Misconduct: Sexual misconduct is a broad category of prohibited behaviors that
includes–but is not limited to–sexual harassment, unwanted touching, and any other
nonconsensual sexual behavior including:
All regular books can be checked-out except REFERENCE BOOKS and PERIODICALS
A borrower is held responsible for all library materials in use.
No book or any library material may be brought out of the library until the loan has been
Any overdue item not returned after the final reminder letter has been sent shall be considered as
lost. The cost of replacing the item will be notified to the student
It is the responsibility of every student in the school to ensure that the school is free from litter. The property of the school, staff, students and visitors need to be respected at all times. Thefts and vandalism are strictly forbidden.
Damage of any kind must be reported to senior management immediately. In the case of negligence or willful damage, the student will be expected to contribute part or all of the costs of repair. Additional disciplinary action will follow
depending on the severity of the case.
Students are required to attend all classes and remain in the school premises during school hours. No student may leave school during interval or lunch without prior permission.
10.1) The 90 Percent ruleAn attendance record of at least 90% for the academic year is expected of each student.
The 90 percent rule applies to all absences, including excused absences, therefore parents should think carefully before requesting for a leave.
The attendance record will be evaluated on a termly basis. For those students who fail to meet the attendance criteria in the first term, they will be promoted to the second term on a ‘conditional basis’, and they will have to ensure their attendance is not compromised in the second term, in order to be promoted to the third term.
Failure to keep up with the attendance policy in term 1 and term 2 will mean the student will not be allowed to appear for the final term exams, and the student will have to repeat the year.
Frequent late arrivals may result in the student not attending class and being sent back home, with further disciplinary actions followed.
12. Personal belonging
The security of all valuable belongings brought to School by students remains the responsibility
within reason of the student.
As an institute we try to ensure that students have good access to ICT systems, including the internet, in order to enhance their learning.
All reports will be available on the SIMS App. Both email and text messages will be sent to
contact 1 and 2 providing they have parental responsibility via the app. Registration details for
the app will be sent out once your child is on roll, to the parent email addresses you have
provided. To receive the registration details, contacts must be registered as Mother or Father and
have parental responsibility.
We will provide you with information about each trip or activity before it takes place. You must
ensure that you and your child understand and agree to any trip Code-of Conduct. You must keep
us informed if any medical information you have provided becomes out-of-date. You must keep
us informed if any emergency contact information you have provided becomes out-of-date
If your child is chosen to be part of a Sporting Team, then your child will attend enrichment
clubs/fixtures as part of their learning experience. Information about the clubs/fixtures your child
will be attending will be published on the school website. By providing consent, you understand
that it is your responsibility to ensure that your child has means of getting home after a club/
fixture from School.
We have an on-site Nurse and qualified first aiders who are available at school. Any medication
that needs to be brought into the institution will need a medical form attached which can be
obtained from reception. Please advise of any medical issues in the medical section of this
booklet and keep the institution informed of any changes.
Please note that the school does not provide any sort of internal medication, the first aid will
only assist in matters relating to physical injury and other serious matters. Internal medication
will only be provided to those students whose parents have supplied the required medicine along
with a medical document. In the event of an emergency we will contact the people listed in the
Home section in order of priority.
Bank name: First Capital Bank
Account name: Central High School
Account no: 0220011003
Once parents sign the Application Form, a contractual obligation is formed.
The school academic year consists of 3 terms evenly spread out through the academic year
Parents subsequently withdrawing their child without giving a full term’s notice, will be liable to pay for that particular term’s fees.
When you sign this application form, you agree that we can process your information and keep a
copy of your form to collect data and prevent fraud.
The school’s Data Protection Policy applies to the personal data held by the school’s Board of
Management which is protected by the Data Protection Acts. The policy applies to all school staff,
the Board of Management, parents/guardians, students and others (including prospective or
potential students and their parents/guardians and applicants for staff positions within the school)
insofar as the measures under the policy relate to them. Data will be stored securely, so that
confidential information is protected in compliance with relevant legislation. This policy sets out
the manner in which personal data and special categories of personal data will be protected by the
We plan carefully when gathering personal data so that we build in the data protection principles
as integral elements of all data operations in advance.
We audit the personal data we hold in order to
Appropriate security measures will be kept in place to prevent breaches of data, and these will be
updated on a regular basis.
This indemnity agreement is to be signed by the student and if the student is under the age of eighteen years by the parent/legal guardian also. Until this indemnity has been signed and returned to the college, the student may not take part
in any activities organized by School. In the event of the Principal of CHIS arranging or authorizing CHIS staff to take me/my son/my daughter on a trip outside the premises of CHIS, I hereby undertake to indemnify the principal/head
teacher and suchmembers of the staff against: a) any claims, damages or costs which they or any of them may be or become liable to pay in consequence of any injury or damage to or illness of me/my said son/daughter occurring during or as a
result of any of the said trips. b) any claims by any third party which may be made against them or any of them in consequence of any act or default of me/my said son/daughter during or as a result of any of the said trips. c) any other
costs and expenses reasonably incurred by them or any of them on behalf of me/my said son/daughter during or as a result of any of the said trips.
I confirm that all the information provided in this form is correct and will inform the
academy with any changes, or alternatively, use the School SIMS App to advise of any
changes (School SIMS App login details will be provided after your child joins). All parent
communication and school reports will be available via the app.
I have read and I agree to the Terms and Conditions of Central High International School. I
undertake to pay the fees as they are due and either to give the required notice of cancellation
or withdrawal, or to pay the required fees in lieu of notice.
I read and agree with the terms and conditions.
Admission approved for the year