TAEJON CHRISTIAN INTERNATIONAL SCHOOL
APPLICATION FORM
! FALL 20 ! SPRING 20
APPLICANT
Legal
Name
LAST (FAMILY NAME) FIRST MIDDLE
Preferred Name Entering Grade
RECENT
Date of Birth / / Age ! Female ! Male PHOTOGRAPH
MONTH DAY YEAR
3.5 cm x 4.5 cm
Ethnicity ! African ! Asian ! Caucasian ! Hispanic ! Other
Applying for ! Day ! Dorm Lunch ! Yes ! No School Bus ! Yes ! No
Student Student
Home Phone Mobile Phone Email
Full Mailing
Address STREET CITY
STATE COUNTRY ZIP CODE
IF POSSIBLE, WRITE ADDRESS IN KOREAN
Home Language Survey
Primary Language Spoken by Student ! English ! Korean ! Other
Second Language Spoken by Student ! English ! Korean ! Other
Language most often spoken in the home ! English ! Korean ! Other
Language in which student reads and writes the best ! English ! Korean ! Other
Language(s) Spoken by Father ! English ! Korean ! Other
Language(s) Spoken by Mother ! English ! Korean ! Other
How many years has the student studied English?
! Parent (One or Both) with non-Korean Passport ! Both Parents with Korean Passports
! Student has resided outside of Korea for a minimum of 3 years
! Student has 3 school years of school report cards
! Student is transferring from another Foreign school in Korea
Supplemental Documents: Supplemental Documents:
Passport Copies (Both Parents and Student) Passport Copies (Both Parents and Students)
Alien Registration Card Copies Exit & Entrance Certification (Student)
3 Years of School Report Cards from Abroad
ADMISSION QUALIFICATION EVALUATION
Note: Attach photocopies of both student’s and parents’ passport identification pages. Official documentation is required to verify 3-
year residency abroad if both parents are Korean passport holders, including dual passport holders. Acceptable documents include the
Korean entry & exit verification form or 3 years of official school records.
Parent Survey
How did you hear about Taejon Christian International School? (Check all that apply.)
! Internet ! Employer ! Relocation Company ! Advertisement ! Mission ! Word of Mouth
! Referral: ! Other
What are the primary reasons why you are considering TCIS? (Check all that apply.)
! IB/Academic Programs ! School Reputation ! Christian Ethos ! Boarding Program ! Location ! Co-curricular Activities
Office of Admissions 77, Yongsan 2-Ro, Yuseong-Gu, Daejeon, Republic of Korea 34035
PHONE 82-42-620-9116 FAX 82-42-620-9043 admissions@tcis.or.kr www.tcis.or.kr
Revised 09/2015
! Other
TCIS Application Page 2
FAMILY
HOUSEHOLD
Parents’ Marital Status (relative to each other): ! Married ! Widowed ! Separated ! Divorced ! Never Married
Religious Preference:
Student Lives with (check all that apply) :
! Mother ! Father ! Stepfather ! Stepmother ! Other
PARENT / GUARDIAN 1: ! Mother ! Father ! Other
Full Name
LAST FIRST MIDDLE
Work Phone Mobile Phone Email
Place of Employment /
Occupation Department
Special Skills or Areas of Interest
PARENT / GUARDIAN 2: ! Mother ! Father ! Other
Full Name
LAST FIRST MIDDLE
Work Phone Mobile Phone Email
Place of Employment /
Occupation Department
Special Skills or Areas of Interest
LEGAL GUARDIAN (if applicable)
Full Name
LAST FIRST MIDDLE
Work Phone Mobile Phone Email
Place of Employment /
Occupation Department
Special Skills or Areas of Interest
RESTRICTIONS (List any person who is not allowed to contact the student.)
Full Name
LAST FIRST MIDDLE
Relationship
Comment
SIBLINGS: Names, ages, and schools of student’s brothers and sisters
Name Age School
Name Age School
Name Age School
Office of Admissions 77, Yongsan 2-Ro, Yuseong-Gu, Daejeon, Republic of Korea 34035
PHONE 82-42-620-9116 FAX 82-42-620-9043 admissions@tcis.or.kr www.tcis.or.kr
Revised 09/2015
TCIS Application Page 3
EDUCATION / PERSONAL BACKGROUND
Student History
Please respond to each of the following questions.
Do any of the following conditions apply to the student? If so, please explain and attach any records or reports.
Yes No Questions If yes, please give details:
Does the student have any areas of special
! ! interest?
Ex. sports, arts, service
! Accelerated Program ! Advanced Placement (AP)
Has the student ever participated in any ! National Honor or Jr. Honor Society
! ! ! Gifted Program
of the following?
! IB Program Program Details:
Has the student ever studied another Which language?
! ! language? What level of proficiency?
Ex. specific areas of study
Does the student have particular plans for
! ! education after high school graduation?
(science, math, art, music ?)
Which country?
Which grade levels? What
! ! Has the student ever attended TCIS? was the reason for leaving
TCIS?
Which grade levels?
! ! Has the student ever repeated a grade?
Why?
With whom did they live?
Did the student live with anyone other
! ! than parents at anytime?
State relationship and length
of stay.
Has the student ever received ELL/ESL
! ! service?
Which grade levels?
Does the student have a history of
! ! learning problems?
Please explain.
Has the student ever received special
Please attach explanation and
! ! education services or had an Individual
any reports.
Educational Plan (IEP)?
Has the student had any disciplinary
! ! action at a former school?
Ex. suspension, expulsion
Please attach explanation and
Does the student have a history of
! ! physical or medical problems?
any medical reports and/or
treatment plans.
Please attach explanation and
Does the student have a history of any
! ! mental or emotional disturbance?
any medical reports and/or
treatment plans.
Has the student ever had a formal Please attach the
! ! psychological examination? psychologist’s report.
Office of Admissions 77, Yongsan 2-Ro, Yuseong-Gu, Daejeon, Republic of Korea 34035
PHONE 82-42-620-9116 FAX 82-42-620-9043 admissions@tcis.or.kr www.tcis.or.kr
Revised 09/2015
Other information to help us meet the educational needs of your child:
TCIS Application Page 4
EDUCATION / PERSONAL BACKGROUND
Student Education Background
Please describe the student’s educational background below.
In case of a repeated grade, enter both years in the same box.
Language of
Grade (Age) Year School Location (City, Country)
Instruction
Pre-School ( )
Kindergarten ( )
Grade 1 ( )
Grade 2 ( )
Grade 3 ( )
Grade 4 ( )
Grade 5 ( )
Grade 6 ( )
Grade 7 ( )
Grade 8 ( )
Grade 9 ( )
Grade 10 ( )
Grade 11 ( )
Grade 12 ( )
APPLICATION AGREEMENT
In making this application the undersigned certifies his understanding that:
1) The mission of Taejon Christian International School is to provide international students a high quality internationally-based education within
a Christian environment utilizing positive educational experiences and biblical foundations for spiritual growth.
2) Fees and tuition are payable in advance in both U.S Dollars and Korean Won in consultation with the TCIS Finance Office.
3) Each applicant for admission to TCIS shall be considered on his/her own merit.
4) Parents have an obligation to return the completed Application for Admission, Student Health Form, and previous schools’ academic records
before the student is considered for admission.
5) Inaccurate, incomplete, or misleading information may be grounds for dismissal.
6) The dormitory is for students who are in the 6th through the 12th grades.
To be considered for admission, applicants must attach:
REQUIRED ! 1) Completed TCIS Application for Admission
REQUIRED ! 2) School Report and two Teacher Recommendation Letters (one for elementary applicants)
REQUIRED ! 3) Completed TCIS Health Form
REQUIRED ! 4) Official Transcript (Previous 3 years), relevant standardized exam results, and exit grades (if applicable) from
previous schools attended.
REQUIRED ! 5) Copy of student’s & parents’ passports (First two pages that include photograph)
REQUIRED ! 6) Copy of Certificate of Entry & Exit to Korea (For Korean passport)
REQUIRED ! 7) Copy of student’s & parent’s Alien Registration Card (For foreign passport holder)
According to the “Personal Information Protection Act,” I understand that this information will not be used for any purpose other than
school admissions. I agree to provide personal information to TCIS for usage in the admissions process. Falsification or withholding of any
information, including passport, birth date, parent information, or school records (academic or behavior) will result in denial of admission,
possible dismissal, and/or possible notification to immigration authorities. The school retains the right to require any documents necessary to
Office of Admissions 77, Yongsan 2-Ro, Yuseong-Gu, Daejeon, Republic of Korea 34035
PHONE 82-42-620-9116 FAX 82-42-620-9043 admissions@tcis.or.kr www.tcis.or.kr
Revised 09/2015
verify the applicant’s residency, parental or citizenship status. If there is any question regarding the authenticity or source of the documents
presented, it is the applicant’s responsibility to provide such proof as necessary to document student eligibility.
I acknowledge that while my child is attending TCIS, he/she must be living in the Daejeon Metropolitan Area with one or both parents, if
not enrolled in the TCIS boarding program. Failure to comply with the residency requirement is considered grounds for immediate dismissal
from Taejon Christian International School.
I hereby certify, to the best of my knowledge, the information I have provided in this application is true and correct.
Signature of Parent / Guardian: Date of Application:
mm/dd/yyyy
Office of Admissions 77, Yongsan 2-Ro, Yuseong-Gu, Daejeon, Republic of Korea 34035
PHONE 82-42-620-9116 FAX 82-42-620-9043 admissions@tcis.or.kr www.tcis.or.kr
Revised 09/2015
