Lower Campus Application

Applicant Information

First Name

Last Name

한글 이름

한글 성

Preferred Name (If different than first name)

Gender

Date of Birth

Address

Zip Code (우편번호)

Mobile Phone

Home Phone

Citizenship

Dual Citizenship (복수국적의 경우, 추가 국적 기재)

Entering Year at Sierra Canyon School

Entering Grade Level

Has the applicant previously applied? (지원 이력)

Are any siblings or relatives who are currently or who have previously attended Sierra Canyon Seoul? (형제, 자매 혹은 친척의 지원 이력 여부)

If yes, please specify their name

Applicant Portrait Picture
지원자의 증명사진

A Copy of Passport (Biographic Pages only)
여권 인적사항 페이지

A Copy of Resident Registration Certificate
주민등록등본 원본 1부

Parent/Guardian 1 Information

Relationship to Applicant (지원자와의 관계)

Last Name (여권 영문 성)

First Name (여권 영문 이름)

이름 (한글)

Date of birth

Citizenship

Job Title

Position

Business Name

Mobile Phone

Email (Gmail preferred)

Resides with
(지원자와 동거 여부)

Responsible for academic related decisions
(학업과 관련된 의사 결정 책임 여부)

Responsible for communication
(Sierra Canyon Seoul과의 의사소통 담당 여부)

Parent/Guardian 1 Signature (서명)
This electronic signature will serve as having read, understood, and agreed to all of the information for Sierra Canyon Seoul Admissions.
이 전자 서명은 Sierra Canyon Seoul 입학에 관한 모든 정보를 읽고, 이해했음에 동의하는 역할을 합니다.

Parent/Guardian 2 Information

Relationship to applicant (지원자와의 관계)

Last name (여권 영문 성)

First name (여권 영문 이름)

이름 (한글)

Date of birth

Citizenship

Job Title

Position

Business Name

Mobile Phone

Email (Gmail preferred)

Resides with
(지원자와 동거 여부)

Responsible for academic related decisions
(학업과 관련된 의사 결정 책임 여부)

Responsible for communication
(Sierra Canyon Seoul과의 의사소통 담당 여부)

Parent/Guardian 2 Signature (서명)
This electronic signature will serve as having read, understood, and agreed to all of the information for Sierra Canyon Seoul Admissions.
이 전자 서명은 Sierra Canyon Seoul 입학에 관한 모든 정보를 읽고, 이해했음에 동의하는 역할을 합니다.

Current School Information

Please list your child's current school and any other schools attended.
(지원자가 재학중인 학교와 이전에 재학했던 학교 정보)

Name of Current School

Address of Current School

Attending Period

Last Grade Attended

Additional Previous School Information
(이전에 재학했던 학교)

Name of Previous School 1

From (mm/yyyy) to (mm/yyyy)

Last Grade

City / Country

Name of Previous School 2

From (mm/yyyy) to (mm/yyyy)

Last Grade

City / Country

Name of Previous School 3

From (mm/yyyy) to (mm/yyyy)

Last Grade

City / Country

Name of Previous School 4

From (mm/yyyy) to (mm/yyyy)

Last Grade

City / Country

Name of Previous School 5

From (mm/yyyy) to (mm/yyyy)

Last Grade

City / Country

Check, if any applicable (multiple available)
지원자에게 해당사항이 있는 경우, 체크하세요.

Repeated a grade (학년을 반복함) Skipped a grade (학년을 건너뜀) Suspended or expelled from a school (학교에서 정학 도는 퇴학 처분을 받음) Diagnosed with learning disability (학습 장애 진단) Any medical issues or allergies (의료적 문제 혹은 알레르기가 있음) None of the above

If checked 'Diagnosed with a learning disability,' please specify.
'학습 장애 진단'에 체크한 경우, 구체적으로 명시해주세요.

If checked 'Any medical issues or allergies,' please specify.
'의료적 문제 혹은 알레르기 있음'에 체크한 경우, 구체적으로 명시해주세요.

Family Statement

Please take moment to answer the following questions in either English or Korean.

Please describe your child.
학부모님의 자녀에 대해 기술해주세요.

Please tell us about a favorite way you spend "family time."
가족과의 시간을 어떻게 보내는지 소개해주세요.

My signature below verifies that all the information provided in this application by my child and myself is accurate.

My signature below also acknowledges my responsibility to follow up on all of the required application documentation so that it is submitted to Sierra Canyon Seoul in order to receive an application decision.

Signature (서명)
This electronic signature will serve as having read, understood, and agreed to all of the information for Sierra Canyon Seoul Admissions.
이 전자 서명은 Sierra Canyon Seoul 입학에 관한 모든 정보를 읽고, 이해했음에 동의하는 역할을 합니다.

Date

Lower Campus Application