Application form DP

Part 1 - Personal details

First name

Family name / surname

Date of birth (dd/mm/yyyy)

Place of birth (country and city)

Nationality
—Please choose an option—ArubaAfghanistanAngolaAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBotswanaCentral African RepublicCanadaSwitzerlandChileChinaCôte d’IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaSpainEstoniaEthiopiaFinlandFijiFranceMicronesia, Federated States ofGabonUnited KingdomGeorgiaGhanaGuineaGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGuatemalaGuamGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIndiaIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People’s Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People’s Republic ofPortugalParaguayPalestine, State ofQatarRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSerbiaSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSeychellesSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUruguayUnited StatesUzbekistanSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, U.S.Viet NamVanuatuSamoaYemenSouth AfricaZambiaZimbabwe

PESEL

Passport (only if no PESEL number)

Address

Registered address

Phone

Email

Name and address of previously attended school

Parental Information - Father

Name and surname

Address

Phone

Email

Paarental Information - Mother

Name and surname

Address

Phone

Email

Part 2 - Information about the candidate

Interests

Educational achievements

Reasons for choosing our school

Plans for the future

Part 3 - Choose subjects

Please choose one subject from each group: 3 subjects on Standard Level (SL) and 3 on Higher Level (HL). Instead of Visual Arts, you can choose an subject from groups 2-4.

Part 4 - Questions for PARENTS

Why did you choose the IBDP in our school?

What are your expectations concerning our school and our teachers?

Additional information about the student

Disabilities

Health problems

I have a certificate of dysfunction issued by a psychologist

Admission for:
—Please choose an option—School year 2025/26School year 2026/27

Admission interview of candidate *
—Please choose an option—PolishEnglish

I declare that I know the contents of the Statute of the Private Secondary School no 32.

I agree to publish my child’s photos on the bulletin boards, in directories and on the school website.

Please DO NOT SEND any documents at the recruitment stage.