Dear Parent/Guardian, Thank you for your interest in having your child considered for admission to Woodstock School.

The Woodstock academic year begins in early August. There is a winter break from mid December through early February. The school year ends in mid June. The admission process is as follows: Complete the application forms and send them to the Woodstock School Admissions Office either by scanned email to admissions@woodstock.ac.in or by courier or registered post to the address set out on the next page. A non-refundable application fee of US$80 or `4,000/- must be sent with the application. Once all application materials have been received, the application will be reviewed by members of the Admissions Committee. You will then receive an email either to let you know: o that the school will not be considering the application any further and that the student will not be offered a place at Woodstock. This will bring the admissions process to an end; OR o to set a date for the admission test and interview. Most test dates are scheduled between February and April. The admission test and interview may be waived for students residing outside of South East Asia. Where applicable, the admission test and interview as well as a tour of the school and residences will take place. The completed application material for those still being considered will be reviewed and discussed by the Admissions Committee. A final decision from the Admissions Committee will be communicated to the family via email. Please note that an application will only be considered once all the materials set out in the checklist on the next page have been submitted. The application will not be reviewed or considered until all the items have been received. Applications for the start of the 2011-2012 school year need to be received by the 10th of March 2011. Applications received after the 10th of March, or applicants having an admission test and interview after 15th of April will be considered for admission only if there are vacancies and may be placed on a waiting list. We look forward to learning more about your child. Sincerely, Kirsten Bradby Director of Admissions Phone (91) 135 661 5104. admissions@woodstock.ac.in

Checklist for Senior School applicants:

Completed application form (5 pages) 2 recent passport size photographs Copy of birth certificate or passport of applicant Copy of birth certificate or passport of father and mother of applicant Completed Student Medical History form Completed Writing sample(s) Signed Statement of Understanding Official transcript or copies of report cards clearly showing grades or marks received during the last 2-3 years, as well as any standardized test scores that are available (do not send originals-they may not be returned) Parent Feedback form (optional) Application fee of US$ 80 (cheque) or `4,000/- (Demand Draft) made payable to Woodstock School Completed Confidential Reference Forms - please give one to either the current Principal or the Guidance Counselor; one to the current English teacher; and one to the current Mathematics teacher. Each reference form needs to be completed and sent either directly by email from the referee to admissions@woodstock.ac.in or in a sealed envelope to the Admissions Office. Please note that unsealed references coming through the parent are not acceptable.
Please complete and send the above listed materials either by scanned email to admissions@woodstock.ac.in, or by courier or registered post to the following address:

Director of Admissions Woodstock School Mussoorie, Uttarakhand 248179 India

APPLICATION FOR ADMISSION WOODSTOCK SCHOOL

MUSSOORIE UTTARAKHAND 248179 INDIA

STUDENT INFORMATION
Student name Gender

(last name)
Birth date (day/month/year) Nationality Permanent address

(first name)

(middle name)

Place (city) Passport (please specify country) (country)

Home phone Present class/grade Class/grade into which admission desired

If applying for admission to class/grade nine or above, in which country is the student expected to attend university?

Sibling Information (if applicable) Name of Sibling _______________________ _______________________ _______________________ _______________________ _______________________ Male/Female __________ __________ __________ __________ __________ Date of birth _____________ _____________ _____________ _____________ _____________ Current School _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________

Woodstock Alumni If any members of your close family (parents, siblings, other children, etc.) have studied at Woodstock School, please list their names and the years they attended.

Application Form page 1/5

FAMILY INFORMATION
Father/Guardians information Name: Address: Street address City State Country Email: Home phone: Mobile phone: Business phone: Date of birth:
(day/month/year )

Mothers information Name: Address: (if different from Father) Street address City

pin/zip code

State Country Email: Home phone: Mobile phone: Business phone: Date of birth:

pin/zip code

(day/month/year)

Place of birth: (city) Citizenship: Religion: Educational background:_______________________ Country in which educated: Occupation: Employer (if any) Employers address: (country )

Place of birth: (city) Citizenship: Religion: Educational background:_______________________ Country in which educated: Occupation: Employer (if any) Employers address: (country)

Student lives with: The parents are:

Both parents Married

Father

Mother Separated

Guardian (specify) _______________________ Widowed

Divorced

Person responsible for payment of fees:

Financial assistance from Woodstock School may be available in certain circumstances. Please refer to the website www.woodstock.ac.in for further details. A grant application form may be requested by emailing the Admissions Office at admissions@woodstock.ac.in

Application Form page 2/5

EDUCATIONAL HISTORY OF STUDENT

Name of present school Address of present school _________________________________________________________Telephone Name of principal at present school Date of entrance to present school Principals email Date of proposed leaving Language of instruction

Please list PREVIOUS schools attended, if any: School Name 1. 2. 3. Has the student been suspended/expelled from any school? If yes, please explain the circumstances Yes No City and Country Dates of Attendance Grade Completed Language of Instruction

LEARNING PROFILE
Has the student ever been tested (or referred for testing) for any of the following: Learning difficulties Emotional difficulties Yes Yes No No Behavioral difficulties Physical difficulties Yes Yes No No

If yes, please describe ___________________________________________________________________________

Has the student ever received any of the following services? Please check all that apply. English as a Second Language Personal counseling Speech/language therapy Gifted/talented/honors program Physical/occupational therapy Other: (Please list) Psychological counseling Remedial educational program

If you checked any of the above, please explain ______________________________________________________

Do you anticipate your child needing additional support in any subject areas? If yes, which subject(s)?

Yes

No

Has the child ever been evaluated by a psychiatrist, psychologist, speech/language therapist, educational diagnostician or other specialist? Yes No

If yes, please specify which type of specialist and send a copy of the report _________________________________ Is the student now, or has he/she ever been on any long-term medication? If yes, please explain Has the student ever skipped a grade/class in school? Please explain the circumstances Has the student ever repeated a grade/class in school? Please explain the circumstances Has the student ever missed twenty (20) days or more of school in a school year? If yes, please explain the circumstances
Application Form page 3/5

Yes

No

If yes, which grade/class?

Yes

No

If yes, which grade/class?

Yes

No

PARENT EVALUATION: We understand that it may be difficult for a parent to objectively evaluate
his/her own child. However, we believe that your comments will be of value to us, particularly as compared with responses from others not so close to the student. Please indicate your appraisal of your childs attitude toward school work, on a scale of 1-5 (1 = low, 5 = high)
1 Organizational skills Enjoyment of school Motivation to study on his/her own Study habits 2 3 4 5 Comments

Please indicate your appraisal of your child with respect to the following characteristics. Please circle the most appropriate response for each category.
Conduct: Consideration of others: Fulfills responsibilities: Initiative: Integrity: Leadership potential: Maturity in terms of age/ grade: Personality: Relationships with peers: Self-confidence: frequent misconduct rarely considerate rarely never initiates questionable a follower very immature withdrawn relates poorly needs much reassurance occasional misconduct usually considerate sometimes rarely initiates usually trustworthy occasionally leads somewhat immature shy has occasional problems needs some support usually good conduct considerate usually occasionally initiates trustworthy seeks opportunities to lead mature warm has healthy relationships has a positive self-image always often initiates a natural leader very mature sociable good conduct

Language Spoken at Home: (Please list the language most commonly used)
Between mother and student: Between siblings: Between father and student: Between parents:

Please answer the following questions. Feel free to attach an additional page, if necessary.
Why do you wish your child to study at Woodstock?

What special attributes will your child bring to Woodstock if he/she is offered admission?

Application Form page 4/5

AGREEMENT: (please read carefully and sign below)

I understand that the School allows no claim of priority due to the date of application or length of time of correspondence and makes no promise of admission until the applicant is formally offered a place in writing. I understand that all students are admitted as boarders. Exceptions may be made for a small number of students under special circumstances. I understand that learning about Christianity is an integral part of the Schools curricular programme and agree to my childs participation. I also understand that all Woodstock students attend School assemblies where Christian worship is part of the regular programme. I agree to comply with the regulations of the School including those relating to timely payment of fees, the charging of interest on unpaid bills and the assessment of fees for less than 90 days notice of a students withdrawal or for the late arrival or early departure of a student. I confirm that all the above information concerning my child is true to the best of my knowledge. I authorize Woodstock School to verify or clarify the above information with anyone concerned. I understand that if any information contained in the application is found to be false or misleading, the School may take appropriate action. This may include rejection of the application, withdrawal of any offer of admission, or immediate removal of the student from the school.

Parents Name (print) Parents Signature Date

Application Form page 5/5

STUDENT MEDICAL HISTORY FORM

Name Gender ________________Birth Date (Day/month/year) FAMILY HEALTH HISTORY: Circle to indicate any occurrence of the following: Alcoholism Allergies Arthritis Asthma Cancer Diabetes Epilepsy Heart disease High blood pressure Kidney disease Mental illness Rheumatic fever Tuberculosis

Has there been a death of a close family member in the past year? Relation to student Cause

Date

PERSONAL HEALTH HISTORY: Tick the Yes column to indicate if the student currently has or has ever had any of the following: Yes Date Yes Date Yes Date Childhood Diseases Chest/Respiratory Skin Conditions Chicken Pox Asthma Eczema Diphtheria Chronic bronchitis Impetigo Measles Chronic cough Frequent boils Mumps Chest pain Scabies Polio Heart/Blood Disorder Neurological Conditions Whooping Cough Rheumatic heart disease Convulsion/Epilepsy Other Heart problems Dizziness/Fainting Other Diseases Dengue High Blood Pressure Frequent headaches Hepatitis (Jaundice) Hemophilia Neuritis Malaria Excessive bleeding after Other Conditions Injury or tooth extraction Mononucleosis Insomnia Rheumatic Fever Sleep Walking GI/GU Conditions Tuberculosis Appendicitis Alcoholism/Drinking Typhoid Abdominal pain Depression Bladder infection Drug Habit Ear/Nose/Throat Frequent colds Diarrhea/dysentery Hysteria Frequent earaches Gall Bladder Mental illness Draining ears Frequent indigestion Psychiatric treatment Frequent nose bleeds Hemorrhoids Smoking tobacco habit Frequent sore throats Hernia Chronic Pain Tonsillitis Kidney infection ADHD Any Deafness Autism Tooth/Gum problems Hay Fever allergies

Female applicants only: (a) Does the student have any problems during menstruation (if applicable)? YES NO

If yes, please give details: __________________________________________________________________________ ________________________________________________________________________________________________ (b) Does the student have any gynecological problems? YES NO

If yes, please give details: __________________________________________________________________________ ________________________________________________________________________________________________

Medical History Form Page 1/2

ALLERGIES: DRUGS: YES NO - If yes, please state which drug and what treatment has been or is being given.

FOOD:

YES NO - If yes, please state which food and what treatment has been or is being given. Peanut Allergy YES NO

OTHER:

YES

NO - If yes, please state the allergy and which drug and treatment has been or is being given.

KNOWN MEDICAL CONDITIONS: Does your child suffer from any medical conditions for which he/she requires medication to control symptoms? E.g., asthma, skin conditions, etc. If yes, please give details: Condition: Date Diagnosed: Medication being taken: Please record any other illness, injury, or operations your child has experienced. Illness: Date: Injury: Date: Operations: Date: OTHER Does the student: Wear glasses or contact lenses? Wear a hearing aid? Have a problem with bed wetting? Have on-going dental treatment now? YES YES YES YES NO NO NO NO

If yes, please tick one of the following: Treatment will be completed while home on vacation Treatment will be continued by orthodontist or dentist recommended by Woodstock.

I confirm that I have completed this form to the best of my knowledge and ability and that any known medical conditions of the applicant have been disclosed. Name (print) Signature Date

Medical History Form page 2/2

SENIOR SCHOOL APPLICANT WRITING SAMPLE PART A

(to be completed by ALL Senior School applicants)

Please write a brief essay, approximately 250-300 words, neatly in your own handwriting, which includes all the following topics. Please use paper, plain or ruled, of this approximate size.
Note: If called for test, this writing sample will be cross-checked against the test writing sample. This must be your own work.

1. Your interests and/or hobbies 2. Your extracurricular activities/involvements outside of school. 3. What you think are your areas of strength. What areas you would like to improve. 4. Why you want to study at Woodstock. 5. What you think you will enjoy most about boarding. What you think will be the greatest challenge. 6. What contribution you hope to make to life at Woodstock. 7. What you hope to gain by studying at Woodstock. 8. What you hope to be doing in 20 years time.

Please confirm that the essay is entirely your own work by including the following statement at the end of your essay and signing your name:

On my honor, I pledge that I have not received improper assistance in completing this task.

Senior School Writing Sample Page

SENIOR SCHOOL WRITING SAMPLE PART B

(to be completed by applicants for Grades 9-12 only)

Please submit a brief (250-300 word), handwritten essay on one of the following topics. Please use paper (plain or ruled) of about this size and indicate at the top of the page which essay you have selected.
Note: If called for test, this writing sample will be cross-checked against the test writing sample. This must be your own work.

A) Imagine that you could have lunch with any person, living or dead. Describe the conversation that the two of you might have. B) Write about a fictional character from a book you have read that resembles someone you know. Describe the similarities and differences. C) You have just finished writing your 300 page autobiography. Please submit (write out) only page 217.

Please confirm that the essay is entirely your own work by including the following statement at the end of your essay and signing your name:

On my honor, I pledge that I have not received improper assistance in completing this task.

Senior School Writing Sample Page 2/2

STATEMENT OF UNDERSTANDING
Please read the following statement carefully, tick the boxes, and sign below. Having read the literature carefully, I am aware that Woodstock School is an International School with a student body drawn from more than twenty countries, representing a wide variety of cultural and national backgrounds.

I understand that Woodstock School is rooted in a Christian heritage which seeks to encourage
the highest standards of citizenship, personal integrity, and community relationships. I understand that the standards of the school are drawn in accordance with the schools Christian philosophy, and also in recognition of the fact that the school is situated in India.

I understand that failure to live up to the standards of the school may lead to disciplinary action,
including expulsion. These standards include respecting the culture and traditions of India and the people that live both within and outside of the school boundaries.

I recognize the need for honesty and integrity and will strive to live in peace and harmony with
all other persons in the school community. I understand that students of Woodstock School are required to adhere to the Woodstock Honor Code: I will not lie, cheat or steal. I will encourage every member of the Woodstock Community to faithfully uphold the Honor Code.

I understand that bullying, gambling, drug abuse, smoking, alcohol consumption, and sexual
immorality are forbidden and will be treated as serious offenses. Having read the above statement carefully, I will give wholehearted support to these rules and goals if I am admitted as a student to Woodstock School.

Signature of Applicant: Student name (print):

Date:

I understand and accept the above statement and will wholeheartedly support the rules and goals if my child is admitted as a student to Woodstock School. Signature of Parent: Parent name (print): Date:

Statement of Understanding page 1/1

CONFIDENTIAL REFERENCE FOR SENIOR SCHOOL APPLICANT

to be completed by current PRINCIPAL or GUIDANCE COUNSELOR

is an applicant for admission to Woodstock School. (Please insert applicants name) We value your assessment of this student as an integral component of the students application for admission. Your forthright answers will help us to determine if this student is likely to be successful at Woodstock School. Please complete this confidential recommendation form and return it to the Admissions Office either by email to admissions@woodstock.ac.in or in a sealed envelope, at the following address: Director of Admissions Woodstock School Mussoorie, Uttarakhand 248179 India LEARNING PROFILE: Please answer the following questions to the best of your ability. 1) Has the student worked up to his/her potential? Please explain. ___________________________________

2) Has the student ever been tested (or referred for testing) for: Learning difficulties Emotional difficulties If yes, please describe ______________________________________________________________________________________ 3) Has the student ever received any of the following services? Please check all that apply. English as a Second Language Personal counseling Speech/language therapy Gifted/talented/honors program Physical/occupational therapy Other: (Please list) Psychological counseling Remedial educational program Yes Yes No No Behavioral difficulties Physical difficulties Yes Yes No No

If you checked any of the above, please explain.

4) Do you anticipate this student needing additional support in any subject areas? If yes, which subject(s)?

Yes

No

5) Has the student ever been evaluated by a psychiatrist, psychologist, speech/language therapist, educational diagnostician or other specialist? If yes, which specialist(s)? 6) Is the student now, or has he/she ever been on any long-term medication? If yes, please explain 7) Has the student ever skipped a grade/class in school? Please explain the circumstances 8) Has the student ever repeated a grade/class in school? Please explain the circumstances 9) Has the student ever missed twenty (20) or more school days in a school year? Yes No Yes No If yes, which grade/class? Yes No If yes, which grade/class? Yes No

If yes, please explain the circumstances ______________________________________________________

Senior School Principal or Guidance Counselor Reference Page

APPLICANT INFORMATION: Please comment on this student with respect to the following. Circle the most appropriate answer for each category.
Ability to express ideas orally: Ability to follow directions: Concentration: Conduct: Consideration of others: Fulfills responsibilities: Initiative: Integrity: Leadership potential: Maturity in terms of age/ grade: Organizational skills: Personality: Relationship with peers: Self-confidence: Sense of humor: Study skills: limited needs much explanation lacks concentration frequent misconduct rarely considerate rarely never initiates questionable a follower very immature disorganized withdrawn relates poorly needs much reassurance rarely laughs or smiles requires close supervision fair occasionally needs help easily distracted occasional misconduct usually considerate sometimes rarely initiates usually trustworthy occasionally leads somewhat immature somewhat organized shy has occasional problems needs some support fair occasionally needs help good usually understands Occasionally distracted usually good conduct considerate usually occasionally initiates trustworthy seeks opportunity to lead mature usually organized warm has healthy relationships has a positive self-image good works independently overly confident delightful natural leader very mature highly organized sociable always often initiates exceptional follows directions well always concentrates good conduct

RECOMMENDATION: Please circle the most appropriate response for each category For Academic Promise: For Character and Personal Promise: Overall Recommendation: not recommended not recommended not recommended without enthusiasm without enthusiasm without enthusiasm fairly strongly fairly strongly fairly strongly strongly strongly strongly enthusiastically enthusiastically enthusiastically

Please summarize your reasons for your recommendation:

Is there any additional information regarding the student or the students family which you think might or should influence our decision?

Signature Name (printed) Email address

Position Date Telephone Yes No, I would prefer you do not

May we contact you directly if we have further questions or concerns?

Senior School Principal or Guidance Counselor Reference Page 2/2

CONFIDENTIAL REFERENCE FOR SENIOR SCHOOL APPLICANT to be completed by the current ENGLISH TEACHER

is an applicant for admission to Woodstock School. (Please insert applicants name) We value your assessment of this student as an integral component of the students application for admission. Your forthright answers will help us to determine if this student is likely to be successful at Woodstock School. Please complete this confidential recommendation form and return it to the Admissions Office either by email to admissions@woodstock.ac.in or in a sealed envelope, at the following address: Director of Admissions Woodstock School Mussoorie, Uttarakhand 248179 India ENGLISH INFORMATION: Please circle the most appropriate response in each category:

Ability to Analyze Text: Comprehension of Abstract Ideas: Creative Expression: Grasp of Grammatical Concepts: Oral Expression: Reading Retention: Reading Speed and Ability: Vocabulary Mastery: Written Expression: Overall Rating:

Weak Weak Weak Weak Weak Weak Weak Weak Weak Weak

Below Average Below Average Below Average Below Average Below Average Below Average Below Average Below Average Below Average Below Average

Average Average Average Average Average Average Average Average Average Average

Above Average Above Average Above Average Above Average Above Average Above Average Above Average Above Average Above Average Above Average

Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding

Please indicate your appraisal of the students attitude toward school work, on a scale of 1 (low) to 5 (high) 1 Effort put forth toward studying: Enjoyment of school: Motivation to study on his/her own: Study habits: Do you predict that this student will be capable of working at an advanced level? 2 3 4 5 Comments

Additional comments (time management skills, consistency of performance, study habits, participation in class, etc). Feel free to attach an additional sheet, if necessary.

Signature of Teacher Date Email address:

Name of Teacher (printed) Telephone Yes No, I would prefer you do not
Senior School English Teacher Reference Page 1/1

May we contact you directly if we have further questions or concerns?

CONFIDENTIAL REFERENCE FOR SENIOR SCHOOL APPLICANT to be completed by the current MATHEMATICS TEACHER

is an applicant for admission to Woodstock School. (Please insert applicants name) We value your assessment of this student as an integral component of the students application for admission. Your forthright answers will help us to determine if this student is likely to be successful at Woodstock School. Please complete this confidential recommendation form and return it to the Admissions Office either by email to admissions@woodstock.ac.in or in a sealed envelope, at the following address: Director of Admissions Woodstock School Mussoorie, Uttarakhand 248179 India MATH INFORMATION: Please circle the most appropriate response in each category: Application of Concepts: Basic Skills: Computation: Problem Solving: Overall Rating: Weak Weak Weak Weak Weak Below Average Below Average Below Average Below Average Below Average Average Average Average Average Average Above Average Above Average Above Average Above Average Above Average Outstanding Outstanding Outstanding Outstanding Outstanding

Please indicate your appraisal of the students attitude toward school work, on a scale of 1 (low) to 5 (high) 1 Effort put forth toward studying Enjoyment of school Motivation to study on his/her own Study habits Do you predict that this student will be capable of working at an advanced level? ________________________________ Additional comments (time management skills, consistency of performance, study habits, participation in class, etc). Feel free to attach an additional sheet, if necessary. 2 3 4 5 Comments

Name of Teacher (printed) Date Email address

Signature of Teacher Telephone

May we contact you directly if we have further questions or concerns?

Yes

No, I would prefer you do not

Senior School Mathematics Reference 1/1

PARENT FEEDBACK FORM

(Help us do a better job)
How did you first learn about Woodstock School? Please select one. Woodstock website Educational journal (please list) Other website (please list) Other (please list) Friend

(optional)

Family member Former student Woodstock staff member Education Fair

What sources of information regarding Woodstock School did you consult to help you make your decision? Please check all that apply. Woodstock website Family member Friend Woodstock staff member Woodstock Alumni Educational Journal (please list) Other website (please list) School prospectus and brochures Other (please list) Was it easy to find the information you needed on the Woodstock Website? Yes No If not, what was difficult?

What information could be added to the Woodstock School website to make it more useful?

Why have you chosen to apply to Woodstock School for your child? Please select 5 of the following answers and rank them in order of importance with 1 being the most important. ____ Boarding experience ___ Diverse student and staff body ___ Childs wishes ___ Extracurricular/leadership opportunities ___ Christian heritage of school ___ Facilities ___ College preparation ___ Increase childs independence ___ Cost of education ___ Location of school ___ Develop childs character ___ Music program ___ Other (please state) __________________________

___ Quality of teachers ___ Recommendation of Alumni ___ Reputation of the school ___ Scholarship program ___ Subject choices ___ Values of the school

Are there any parts of Woodstocks life and program that worry you? Please check any that apply, and explain further in the space below: Boarding experience Christian characteristics of school Cost of education Discipline system at school Diverse student and staff Comments: Facilities Location of school Quality of teachers Reputation of the school Student life at school Subject choices Values of the school Outdoor education Other (please list)

Please list up to 3 other schools that you are considering for your child: