Aplicação dos Alunos para a Escola

Portuguese United for Education, Inc. Escola Portuguesa Oficializada
School Address:
360 Coggeshall Street
New Bedford, MA 02746
Tel: 508-997-8295
Email: [email protected]
Web: escolaportuguesa.org
Facebook: escolar portuguesa casa da saudade & portuguese united for education
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Ficha Individual do Aluno /Student Application
A preencher pela Escola/To be filled out by the School
Número de Matrícula: ___________________________
Registration Number:
Data em que foi Matrículado: _____________________
Day of Registration:
-----------------------------------------------------------------------------------------------------------------Escola/Campus: ☐ Casa da Saudade – South End ☐ Portuguese United – North End
Informação sobre o Aluno/Information about the Student:
Nome Completo do(a) Aluno(a): ________________________________________
Student Full Name:
Data de Nascimento (Dia/Mês/Ano): _____________________________________
Date of Birth (Day/Month/Year):
Endereço Completo: _________________________________________________
Complete Address:
__________________________________________________
Lugar onde Nasceu: __________________________________________________
Birth Place:
Nacionalidade: ________________________________
Nationality:
Telefone de Casa: _____________________Telemóvel: _____________________
House Phone Number:
Cell Number:
Email: _______________________________________
Nome e Número do Documento de onde se recolheu a informação:
Name and Number of Documentation where the information was taken Nome do Documento: __________________________________________
Name of Document:
Número: _______________________________________
Number: Escola que Frequenta: ________________________________________________
School Student attends:
Direção: ___________________________________________________________
Address: ____________________________________________________________________________ Grau: _________________________________________
Grade:
Informação acerca dos Pais/Information about the Parents:
Nome do Pai: ______________________________________________________
Father’s Name:
Naturalidade (Local de Nascimento):_____________________________________
Place of Birth:
_______________________________________
Nacionalidade: __________________________________
Nationality:
Telefone de Casa: _______________________ Telemóvel: ___________________
Home Phone Number:
Cell Number:
Email: _________________________________________
Formação Escolar: ___________________________________________________
School Education:
Escola que Frequentou: _____________________________________________________________ School Attended:
_______________________________________________
Profissão: __________________________________________________________________________ Occupation:
Local de Trabalho: ___________________________________________________
Work Place:
__________________________________________________
Frequentou a Escola PUE? ____________ Em que ano Graduou? ______________
Were you a student at PUE?
What year did you graduate?
Nome da Mãe: _____________________________________________________
Mother’s Name:
Naturalidade (Local de Nascimento):_____________________________________
Place of Birth:
_______________________________________
Nacionalidade: __________________________________
Nationality:
Telefone de Casa: _______________________ Telemóvel: ___________________
Home Phone Number:
Cell Number:
Email: _________________________________________
Formação Escolar: ___________________________________________________
School Education:
Escola que Frequentou: _____________________________________________________________ School Attended:
_______________________________________________
Profissão: __________________________________________________________________________ Occupation:
Local de Trabalho: ___________________________________________________
Work Place:
__________________________________________________
Frequentou a Escola PUE? ____________ Em que ano Graduou? ______________
Were you a student at PUE?
What year did you graduate?
Tem algum membro de família a frequentar esta escola?
Is there anyone in your Family who is in the Portuguese School? Nome:_____________________________________________________________
Name: Ano de escolaridade que frequenta: ______________________
Grade: Relação com o aluno (a): __________________________
Relationship with Student: Nome: _____________________________________________________________
Name: Ano de escolaridade que frequenta: ______________________
Grade: Relação com o aluno (a): __________________________
Relationship with Student: Contacto em Caso de Emergência:
Emergency Contacts:
Nome: _____________________________________________________________
Name:
Relação com o(a) aluno(a): ________________________
Relationship with Student:
Endereço Completo: __________________________________________________
Complete Address:
_______________________________________________________________ Telefone de Casa: ____________________ Telemóvel: ______________________
Home Phone Number:
Cell Phone Number:
Email: ______________________________________
Nome: _____________________________________________________________
Name:
Relação com o(a) aluno(a): ________________________
Relationship with Student:
Endereço Completo: __________________________________________________
Complete Address:
__________________________________________________
Telefone de Casa: ____________________ Telemóvel: ______________________
Home Phone Number:
Cell Phone Number:
Email: ______________________________________
Outra informação que julgue de utilidade:
Other information that may be helpful:
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