Bloom International Bloom International
Home page Mission & Vision Admission Curriculum Photo gallery School calendar Contact

Student's online application form


You must complete all fields with an asterisk (*)


Student's Personal Details
Surname: *
Other Names: *
Date of Birth: *
Place of Birth: *
Gender: *
 Male Female
Foreigners' Permit of Stay Number: *
Nationality: *
Religion: *
Student's Language Ability
Language Fluent Non-fluent
Which of these languages is spoken at home?
Details of Previous School/s Attendance
First
Name of School:
Country:
From:
To:
Year or Grade Level:
Was this an International School?:
 Yes No
Second
Name of School:
Country:
From:
To:
Year or Grade Level:
Was this an International School?:
 Yes No
Is your child suffering from specific illnes? (if so, please write details)
 
Parent's / Carer's Details
Father / Carer
Surname:
Other Names:
Nationality:
Home Address in Italy:
Home Telephone:
Mobile:
Work Telephone:
Employment:
Address in Home Country: (if not Italian)
Telephone number: (Home Country)
Codice Fiscale
Mother
Surname:
Other Names:
Nationality:
Home Address in Italy:
Home Telephone:
Mobile:
Work Telephone:
Employment:
Address in Home Country: (if not Italian)
Telephone number: (Home Country)
Codice Fiscale
Application Confirm
Privacy:  I accept     I do not accept
University of Cambridge