American School

Westminster International School

First Name *

Middle Name

Last Name *

Date of Birth *

Student Phone (Optional)

Student Email (Optional)

Current/Entering Grade *

Academic Year *

Current/Previous School Name *

ACT Test Status *

Relationship to Student *

First Name *

Last Name *

Phone *

Email *

Relationship to Student

First Name

Last Name

Phone

Previous Report Card/Transcript (Required) *

Maximum file size: 8 MB

Birth Certificate / ID (Required) *

Maximum file size: 8 MB

Additional Notes (Optional)

Declaration *

I confirm that the information provided is accurate and I agree to be contacted regarding ACT enrollment at Westminster International School.

Signature (Type Your Name) *

Date *