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Phone: +60 (7) 213 2638

A Learning Community that Empowers Students to Achieve their Academic and Life Potential.

APPLICATION FORM

Application Form

Applicant Information

Gender *
Will the student be living in boarding at Raffles American School? *

Siblings

Does the applicant have siblings currently enrolled in RAS? *

Family Information

Company sponsored tuition: *
Student resides with *

School History of Applicant (Please list the most recent school first)

Language

Parent’s assessment of applicant’s ability in English

Speaking
Reading
Writing

Support Services

My Child has been tested: *
Recieved help for: *
Has your child ever been evaluated by a psychologist, speech / language therapist, educational diagnostician or other specialist? *
Has your child ever repeated a grade at school? *
Has your child ever been asked to withdraw from a school? *
Does your child require medication prescribed by a physician to aid the learning process? *

Billing Information

Billing Address: *
Note: Invoices are sent via email unless other arrangements are made in advance.
Terms and Conditions *
Checking the box and clicking submit affirms my understanding of the following: 1. I have read and understand the above requirements for Admissions to RAS. 2. I understand that it is extremely important to the admissions and potential enrollment of my child that I fully disclose requested information and have not falsified any documentation provided. If requested by the school I will take responsibility to provide document authentication/proof of eligibility. I understand that denial of admission or possible dismissal from RAS may result if I failed to provide accurate, authentic information during the admissions procedure. 3. I understand RAS may contact my child’s previous school for further records or questions. 4. I understand that completion of this application does not guarantee my child a seat at RAS.