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Admissions Personal Circumstance Form
Personal Circumstance Form
In order to ensure that the school is best able to support the child, it is imperative that we have all the relevant information relating to the child’s educational, physical or medical needs prior to the selection process. Please complete one form per registered child.
Full Name of Child
Date of Birth
Current School (if any)
Do you have any concerns about your child's academic progress?
Please give full details of any concerns about your child’s academic progress.
Does your child have any learning difficulties?
Please give details of learning difficulties including and medication. Include any investigations relating to any disorders such as ADHD, Asperger’s Syndrome, Autism as well as dyslexia etc:
Does your child receive extra support to help with learning difficulties, or with English as an Additonal Language? Give number of hours per week.
Have you had an Educational Psychologist’s report prepared for your child? (Please note, we will also ask the school this question).
Education Psychologist's Report
Are there any personal circumstances that we should be aware of? (eg family relations, bereavements, financial difficulties etc)
Does your child suffer (or has he/she in the past) from any illness or disability? (Please indicate severe allergies or fits/seizures here, if applicable, with details and dates.) Please also give details of any regular medication taken:
Have you, or the school, had any cause to be concerned about your child’s behaviour or social development?
Does your child see, or has previously seen, a therapist of any sort? If so, please give details.
How would you describe your child? Please tick as many of the boxes as appropriate:
Good sports person
Good English skills
Relationship to Child
I declare that I have supplied, to the best of my knowledge, all the relevant information pertaining to my child.
I understand and acknowledge that withholding relevant information, which subsequently comes to light, may result in the College withdrawing an offered or accepted place at Marlborough College Malaysia. I understand that Saturday morning school is compulsory for Sixth Form students (Years 12 and 13).
for further details on our privacy notice.