JiMSchool Foundation enrolls Lodz |.

Address of residence (for correspondence) - if different from the above:

2. data of parents/legal guardians:

3. application data:

The candidate is applying for admission to the institution:

JiM Foundation Preschools

JiM Foundation Primary School

JiM Foundation's School Adapted to Work

I have a statement of special education needs:

Yes

Not

The ruling was issued due to:

Autism/Asperger's syndrome

Intellectual disability of mild degree

Intellectual disability of moderate or severe degree

Intellectual disability of a profound degree

Disabilities coupled other

Other disabilities

Attach the ruling Allowed file types JPG | PNG | PDF | Maximum size 5MB

I am in the process of diagnosis at the Psychological and Pedagogical Clinic:

Yes

Not

Whether the candidate has an opinion on early development support (WWR)

Yes

Not

During

If YES, the opinion will be attached to this application.

Attach an opinion Allowed file types JPG | PNG | PDF | Maximum size 5MB

Is the candidate a graduate of one of the JiM Foundation's educational institutions?

Yes

Not

Which JIM Foundation educational institution is the candidate a graduate of?

The peripheral school of the child due to the place of registration/residence is:

*Applies to candidates who apply for admission to Schools, after starting their education in another institution
Up to now, the candidate has attended a school (provide school number, address and telephone number):

Please write from where you have information about the activities of the JiM Foundation.

Additional document (Optional) Allowed file types JPG | PNG | PDF | Maximum size 5MB

Preferred form of contact?

Phone

E-mail address

By letter

I declare that the above-mentioned data are in accordance with the facts.

School enrollment in Lodz

Download a paper form and submit it to the JiM facility of your choice.

Or

Fill out the form

1. candidate data

2. data of parents/legal guardians:

3. application data: