Ansøgning // Application

Kostelev til Grundskolen // Boarding Student Middle School

Generelt // General
Class
Year starting up
Om eleven // The student
Full name
Address
Current school
Choose, if relevant


State CPR number (or date of birth)
Postal code and city
Cell phone
Mor // Mother
Title
Full name
Address
Cell phone
State CPR number (or date of birth)
Postal code and city
Work phone number
Far // Father
Title
Full name
Address
Cell phone
State CPR number (or date of birth)
Postal code and city
Work phone number
Forsørger // Guardian
Who is the guardian?



In case of divorce/separation indicate date:
Where does the student live - residential address?




Evt. anden person el. værge // Other guardian
Full name
Relation to the student
Address, postal code and city
Cell phone
Begrundelse for ansøgning // Motivation for applying
A short statement explaining why the applicant is applying to Herlufsholm
Skoleforløb // School history
Current school
Previous schooling
Previous schooling
Sprogkundskaber // Languages
Prior lingual courses


Other languages
Andre informationer om eleven // Other information
Applicant's hobbies
Elevens weekendadresse
If the student has a different residence or contact address in weekends, please fill in below


Betalingsinformationer // Payment info
Helbredsmæssige forhold // Health conditions
Does the student require any medicine?


Does the student currently suffer or has he/she priviously suffered from any medical conditions?


Has the student been or is currently undergoing treatment for psychological conditions such as eating deisorder, self-inflicted injury behavior, depressions, etc.?


Any concerns regarding food, physical activities, etc.?


Other health issues that the school need to be aware of?
Bilag til ansøgningen // Attachments
Som bilag til ansøgningen bedes venligst medsendes kopi af dåbsattest eller fødselsattest, pas, udtalelser eller lignende fra de seneste to skoleår, resultater af nationale test, seneste karakterblad og et vellignende foto af eleven // Please attach the following information: a copy of birth certificate and passport, recent report card, and a photo of the applicant
Attachments
Attachments
Attachments
Attachments
Attachments
Attachments
Forældrenes bekræftelse // Parent's approval
I hereby confirm that the information stated here are correct to the best of my knowledge and I accept the rules and terms defined by the current edition of the Herlufsholm School Handbook
Elevens bekræftelse // Student's approval
I hereby confirm that I undestand and accept the school's regulations. In addition, I give permission (also after the age of 18) for my parents to contact the school and vice versa in relation to my schooling and my stay at the school