Application Form for Assisted Places

As an international school, ISB exists to serve the educational needs of families whose employment brings them to Brussels and who wish their children to have an English-language education.

The Assisted Places Programme is primarily designed to support families who experience a change of personal circumstances and financial hardship during their time at ISB.

Please give as much detail as possible in response to all questions, in order to help the Assisted Places committee assess your circumstances. You may save your answers at any time and return to the form later.

Please select the school year for which you are applying for assisted places:required

Part I - Family Information

1. Family situation

Parent 1

First namerequired

Last namerequired

Relationship to child(ren)required

First name

Last name

Relationship to child(ren)

Are you a new family?*

Yes No

Are you a returning family?*

Yes No

Are you applying for Assisted Places?*

Yes No

Are you applying for payment by instalments?*

Yes No

2. In case we need additional information, where can we contact you?

Email addressrequired

Phone numberrequired

3. Children for whom you are requesting Assisted Place(s) at ISB

How many children do you wish to request Assisted Places for?required

First namerequired

Last namerequired

Date of Birthrequired (dd/mm/yyyy)

Graderequired

First namerequired

Last namerequired

Date of Birthrequired (dd/mm/yyyy)

Graderequired

First namerequired

Last namerequired

Date of Birthrequired (dd/mm/yyyy)

Graderequired

First namerequired

Last namerequired

Date of Birthrequired (dd/mm/yyyy)

Graderequired

First namerequired

Last namerequired

Date of Birthrequired (dd/mm/yyyy)

Graderequired

4. All other children except the student(s) for whom you are requesting an Assisted Place at ISB

How many of your children benefit from or are requesting Assisted Places outside of ISB (at another school or college)?required

First namerequired

Last namerequired

Agerequired

School/College namerequired

Financial Aid granted?*

Yes No Unconfirmed

If yes, please indicate the percentage (%)

Attach a statement from the school/college detailing the amount of the fess and the financial aid granted

Max file size: 10 MB

Total cost of this schooling paid by you during the school year

First namerequired

Last namerequired

Agerequired

School/College namerequired

Financial Aid granted?*

Yes No Unconfirmed

If yes, please indicate the percentage (%)

Attach a statement from the school/college detailing the amount of the fess and the financial aid granted

Max file size: 10 MB

Total cost of this schooling paid by you during the school year

First namerequired

Last namerequired

Agerequired

School/College namerequired

Financial Aid granted?*

Yes No Unconfirmed

If yes, please indicate the percentage (%)

Attach a statement from the school/college detailing the amount of the fess and the financial aid granted

Max file size: 10 MB

Total cost of this schooling paid by you during the school year

First namerequired

Last namerequired

Agerequired

School/College namerequired

Financial Aid granted?*

Yes No Unconfirmed

If yes, please indicate the percentage (%)

Attach a statement from the school/college detailing the amount of the fess and the financial aid granted

Max file size: 10 MB

Total cost of this schooling paid by you during the school year

First namerequired

Last namerequired

Agerequired

School/College namerequired

Financial Aid granted?*

Yes No Unconfirmed

If yes, please indicate the percentage (%)

Attach a statement from the school/college detailing the amount of the fess and the financial aid granted

Max file size: 10 MB

Total cost of this schooling paid by you during the school year

Part II - Reason for Application

Please explain why your children need English speaking international education.required

The following questions might help you: Have your children been in an International School before? How long is your family going to stay in Belgium? Do your children have special learning needs? In which languages are your children fluent? Etc.

Are there any other factors that should be considered?

Part III - Assets and Liabilities

This statement must include all assets and income for all members of the household and dependents. Please convert all currencies to Euro at the current rate of exchange.

1 Cash on hand in bank (savings and current)required

2 Stocks, bonds, and other securitiesrequired

3 Home (if owned, estimate current value, if not owned, enter 0)required

4 a) Other assets such as second house, business, etc. - please give details of assets

4 b) Please give estimated value of other assests

1 Home mortgage (please indicate the total remaining amount of the mortgage, not the monthly payment)required

2 Other loans or liabilities (total) - please give details as per Assets #4 aboverequired

Part IV - Annual Income

1 Net salary - Parent 1required

2 Net salary - Parent 2 (compulsory field if Parent 2 is earning)

3 Income from securities/bonds, etc.required

4 Income from rental propertyrequired

5 a) Other sources of income - please give details, eg. Child allowance, severance pay...

5 b) Please estimate total income from other sources

Part V - Benefit in Kind

Educational allowance paid by employer*

Yes No

If yes, how much (in EUR)required

Housing provided by employer*

Yes No

Other benefits in kind (please indicate nature and amount)

Part VI - Personal Contribution

How much would you be able to pay for the tuition of your child(ren)?required

Part VII - Other information

Please upload copies of the following documents. If these documents are not attached, the Assisted Places committee will not be able to consider your application.

1 (a) Statement from the employer detailing the amount of the tuition fees that they pay. If they pay nothing, statement to this effect is required

Max file size: 10 MB

1 (b) Statement from the employer (of parent 2 - if applicable) detailing the amount of the tuition fees that they pay. If they pay nothing, statement to this effect is required

Max file size: 10 MB

2 (a) Parent 1: Salary slips for the past 6 months

Max file size: 10 MB

2 (b) Parent 2: Salary slips for the past 6 months (if applicable)

Max file size: 10 MB

3 (a) Most recent annual statement of income tax paid (avertissement extrait de role; aanslag van inkomstenbelasting)

Max file size: 10 MB

3 (b) For second income earner if applicable

Max file size: 10 MB

4 (a) If self-employed, your most recent annual accounts

Max file size: 10 MB

4 (b) For second income earner if applicable

Max file size: 10 MB

5 In case of a divorce/separation, a copy of the divorce decree

Max file size: 10 MB

6 (a) Any additional relevant documents

Max file size: 10 MB

6 (b) Any additional relevant documents

Max file size: 10 MB

6 (c) Any additional relevant documents

Max file size: 10 MB

By submitting this form, you declare that all the information supplied is true and correct and includes all incomes and benefits in kind.

The Assisted Places Committee maintains strict confidentiality over Assisted Places applications. Neither faculty nor students are informed of Assisted Places decisions.