APPLICATION FORM-studentdeskims

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A. DATA PRIVACY

By submitting this form, I consent to the viewing and processing of my personal and family information by the school administrators of Studentdesk Integrated Montessori School, who manage the Application Form. I acknowledge and agree to provide Studentdesk Integrated Montessori School with my personal and family information as defined by the Data Privacy Act of 2012 (R.A. 10173). This information will be processed in relation to my child's admission, enrollment, academic pursuits, and other associated activities at SD IMS.

B. IMPORTANT GUIDELINES

Please have the following requirements due upon application ready before filling out the online application form: (a) PSA Birth Certificate (applicable to all student applicants) (b) Latest Progress Report with LRN -applicable for returnee and transferee applicants only.
Kindly refrain from refreshing the page while filling up the online application form. This will return you to the first page of the Admissions, and any changes made to the form will be lost.
Any changes in your contact information, after the submission of your application, should be relayed to the SD IMS Admissions Office. You may e-mail admissions@studentdeskims.org. TYPE N/A IF NOT APPLICABLE.
Accepted file types are compressed images only (jpg, png).
Each requirement is limited to one (1) file upload. If there is a need to upload multiple files for a specific requirement, kindly merge them into one file.
Scanning physical documents is ideal. In absence of a scanner, you may instead use a photography device.
All fields marked with a red asterisk (*) are required fields that should be given values, otherwise, the system will prompt an error message.

C. SUBMISSION ACKNOWLEDGEMENT

Please ensure that the email address you provide here is active and accessible, as this is where the system will send the confirmation of your submission along with any instructions.
Our Admissions Staff will review them thoroughly and reach out to you if there are any concerns regarding the submitted documents.

D. MODIFIED BUSINESS HOURS

Kindly take note that submission/s received beyond the official working hours (Monday-Friday, 9:00AM-4:00PM) and holidays may take us longer to respond.

E. CONTACT US

For any concerns, you may send us an email at admissions@studentdeskims.org or contact us at 09569304476(Viber/ Globe or TM) / 09234505600 (Sun or Smart).

Applicant Type

Applying for Level

Child's Handedness

Last Name

First Name

Middle Name

Birth Date

Nickname

Gender

Religion

Nationality

Primary Spoken Language

Home Address

Previous School Attended (if any)

Level/s Completed

Years of Stay

Honors and Awards

Applicant’s parents are:

Applicant is living with:

Combined Family Income (Annual)

Applicant’s Tuition Fee Paid By:

Person/People authorized to claim child's report card / school records

Father's Full Name

Father's Birthdate

Father's Religion

Father's Citizenship

Father's Contact Number/s

Father's Email Address

Father's Highest Educational Attainment

Father's Employment Status

Father's Occupation & Company

Father - Work From Home Due to Community Quarantine

Mother's Full Name

Mother's Birthdate

Mother's Religion

Mother's Citizenship

Mother's Contact Number/s

Mother's Email Address (Primary)*

*Please ensure that the email address you provide here is active and accessible, as this is where the system will send the confirmation of your submission along with any instructions.

Mother's Highest Educational Attainment

Mother's Employment Status

Mother's Occupation & Company

Mother - Work From Home Due to Community Quarantine

Guardian's Full Name

Guardian's Relationship to the Child

Guardian's Contact Number/s

Guardian's Employment Status

How does your child go to school?

How many of your household members (including the enrollee) are studying ? Please specify each.

Who among the household members can provide instructional support to the child’s distance learning? Choose all that applies.

What devices are available at home that the learner can use for learning? Check all that applies.

How do you connect to the internet? Choose all that applies.

Own Mobile Data

Own Broadband Internet

Computer Shop

Other Places Outside the Home with Internet Connection (Neighbor, Relatives, Barangay)

What are the challenges that may affect your child’s learning process through distance education? Choose all that applies.

lack of available gadgets/ equipment insufficient load/ data allowance

unstable mobile/ internet connection

existing health condition/s

difficulty in independent learning

conflict with other activities (i.e., house chores)

high electrical consumption

distractions (i.e., social media, noise from community/neighbor)

Has your child / children received a COVID-19 vaccine?

Kindly provide information about the vaccine administered to your child and the date of administration.

Any allergies or peculiar disease?

If yes, please give details

Has the child ever been forced to stop studying for four (4) or more weeks at a time because of poor health?

Has your child undergone any form of therapy? If yes, please state the reason and the name and contact number of the therapy center or clinic your child has gone to/is going to.

If yes, please give details

Height (cm)

Weight (kg)

Hearing

Eyesight

General Health

In case of emergency, may the school authorities take your child to the nearest hospital before calling parent/guardian?

Doctor/s to be notified

Telephone/Mobile Number/s

Hospital Affiliation

UPLOAD PSA BIRTH CERTIFICATE (.jpeg, .png format)

For Student with Previous Schooling: UPLOAD LATEST PROGRESS REPORT (.jpeg, .png format)

Please check this box to acknowledge that you have read and understood the procedures in its entirety.

I hereby certify that all information requested and submitted via the Studentdesk Integrated Montessori School (SD IMS) online application form is complete and accurate.
I authorize SD IMS to verify all information supplied in the form.
I give SD IMS full consent to use, share, disclose and transfer data in the form for purposes related to my application.
I understand that any misrepresentation of information will be considered sufficient reason for refusal of admission and/or future exclusion.
Should my child be admitted, I will submit to SD IMS the enrollment requirements of my child during enrollment or as soon as available.
I understand further that failure to fulfill the aforementioned requirement before the beginning of academic year shall render the enrollment invalid.
It is the responsibility of the student applicant and the parents to ensure the authenticity of the documents submitted.
SD IMS reserves the right to: (a) Cancel the admission of the student if after enrollment, the documents submitted were proven to be fake, tampered, or manipulated. (b) Require resubmission of documents due to poor image quality and readability. (c) Request for supporting documents of the ones submitted previously.
As per Article V, Section C, Page 8 of the enclosure to the Department of Education Memorandum No. 3, Series of 2018; otherwise known as the Basic Education Enrollment Policy; all student-applicants will be considered on temporarily enrollment until such time that all original documents are submitted.
Parent/s or the duly authorized guardian of the student-applicant is required to submit an Affidavit of Undertaking for the student-applicant to be temporarily enrolled.
Failure of the student to submit the original documents may have the following consequences: (a) Non-enrollment in the DepEd’sLearner Information System (LIS) for Basic Education Program; (b) Future problems in the processing of school credentials.

Name of Person who accomplished this form

Your Signature

*

APPLICATION FORM

APPLICANT INFORMATION

SCHOLASTIC INFORMATION

FAMILY INFORMATION

FATHER’S INFORMATION

MOTHER’S INFORMATION

GUARDIAN’S INFORMATION

ACCESS TO DISTANCE LEARNING

HEALTH INFORMATION

UPLOADING OF DOCUMENTS

ACKNOWLEDGEMENT & E-SIGNATURE