Admission

THE ADMISSION APPLICATION TO PRIVATE PRIMARY SCHOOL

To class *
—Proszę wybrać opcję—012345678

School year *
—Proszę wybrać opcję—2023/242024/25

Part I. Personal information about a child and his/her parents (guardians)

Child's name and surname *

Child's date of birth *

Child's place of birth *

Citizenship *
—Proszę wybrać opcję—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

Home address *

Postal address *

Child's registration number (PESEL) *

Contact information of child’s parents/guardians responsible for him/her (in case an emergency or an illness) *

Regional school’s address

Address of last school the child attended

Information about people entitled to taking a child back home (name and surname, ID number, family relationship) *

Legal guardian #1

Name and surname *

Address *

Phone *

E-mail *

Legal guardian #2

Name and surname

Address

Phone

E-mail

Part II. Information about a candidate

Current child’s interests (the most favourite games, topics, etc.)

Activities which a child doesn’t like or avoids

Child’s strengths

Child’s weaknesses (in which situations, what behaviours can be observed)

Special habits and needs of the child

Why did you choose our school?

What are your expectations regarding the School?

Other notes and information concerning a child (illnesses, dysfunctions, special food requirements)

Special information about child’s situation at home which should be known by a teacher

I declare that I know the content of the status of Private Primary School *

I let you expose my child’s photos on wall exhibitions, brochures and website.

I let you store my child’s pieces of work in portfolio which is open for general use.

I let you store my child’s pieces of work in the kindergarten’s electronic data base.

Information clause

According to Art. 13 par. 1 and par. 2 of the Regulation of the European Parliament and Council (EU) 2016/679 of 27th April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and repealing Directive 95/46 / EC (Official Journal EU L 2016.119.1) (hereinafter "RODO") is informed that:

1. The administrator of personal data of student candidates and their Guardians is Prywatna Szkoła Podstawowa im. Jeana Monneta, which is part of the Monnet International School complex, located at ul. Stępińska 13 and ul. Belwederska 6a Warsaw, represented by the Head of School Hanna Buśkiewicz – Piskorska (hereinafter „PSP”;

2. The Personal Data Protection Inspector is Zontek i Wspólnicy Sp. k., e-mail: biuro@zontekiwspolnicy.pl

3. Personal information such as name, surname, birth date and PESEL number of the student candidate, if there is no PESEL number – passport series and number or other document confirming identity; names and surnames of the candidates parents; residential address of parents and the candidate; for adult candidates - residential address of the candidate; email address and phone numbers of the candidate parents and in the case of an adult candidate – the email and address and phone number of the candidate, as well as other documents containing personal information, required in the recruitment process in accordance with the regulations of Act of 14 December 2016 Education Law (Journal of Laws 2017.59 as amended, hereinafter „UPrO”), processed for the needs of the recruitment process for PSP. In accordance with UPrO regulations, i.e. pursuant to Art. 6 par. 1 item c RODO and in order to undertake actions necessary to qualify the candidate on the request of his guardian, prior to concluding an education agreement with PSP, pursuant to Art. 6 par. 1 item b);

4. Recipients of personal information of the candidate and his guardian may include: companies providing IT services for PSP and connected to the admissions process, courts.

5. Personal information is not provided to countries outside of the European Economic Area,

6. Personal data of candidates and their guardians, collected for the purposes of the admissions process as well as admission forms, is stored for a time period consistent with the regulations of UoSO, UPrO and executive regulations issued on their basis and until the expiry of the limitation period for possible claims resulting from the performance of the agreement on the education of a student.

7. Every guardian / adult student has the right to access his personal information and/or the information of a person remaining under his/her legal guardianship and the right to correct, remove („the right to be forgotten”), limit processing as well as the right to transfer data and the right to object;

8. The guardian / adult student has the right to raise a complaint to the supervising authority, i.e. the CEO of the Personal Data Protection Office (Urząd Ochrony Danych Osobowych), if he / she decides that personal data processing of his / her own personal information or that of a person remaining under their legal guardianship, violates the regulations of RODO;

9. Provision of personal data is obligatory pursuant to legal provisions. Not providing personal information will make it impossible to conduct the admissions process and conclude the education agreement for the student.