DOSSIER D’INSCRIPTION 2020-2021
OPĚTOVNÁ PŘIHLÁŠKA LYCÉE (střední škola) ENROLMENT FORM FOR LYCEE
Entrée en classe de Première - Vstup do ročníku Première - Entry to Première
ELEVE ŽÁK STUDENT
Nom : ………. Prénom : … ……….
Příjmení / Surname Jméno / Name
En cas de changement de coordonnées, merci de vous présenter au secrétariat.
V případě jakýchkoliv změn vašich kontaktních údajů, prosím obraťte se na sekretariát školy.
In case of any change in contact details, please inform the secretariat.
ENSEIGNEMENTS DE SPECIALITES STUDIJNÍ PŘEDMĚTY SE SPECIALIZACÍ SPECIALS SUBJECTS
Trois enseignements de spécialités au choix :
Tři volitelné studijní předměty se specializací Please choose three specials subjects
Humanités, littérature et philosophie (Humanitní vědy, literatura a filosofie - Humanities, literature and philosophy)
Littérature, langues et cultures de l’Antiquité LATIN (Literatura, jazyk a antická kultura – LATINA
Literature, languages and cultures of Antiquity LATIN)
Langues, littératures et cultures étrangères ANGLAIS (Cizí jazyk a kultura - ANGLIČTINA Foreign Languages, Literatures and Cultures ENGLISH)
Histoire-géographie, géopolitique et sciences politiques (Zeměpis, dějepis, politologie a geopolitologie
History, Geography, Geopolitics and Political Science)
Sciences économiques et sociales (Sociálně ekonomická studia - Economics - Social Science)
Mathématiques (Matematika - Mathematics)
Sciences de la Vie et de la Terre (Přírodopis - Biology)
Physique-chimie (Fyzika/Chemie - Physics/Chemistry)
*Ouverture de la spécialité sous réserve du nombre d’inscrits.
*Otevření jednotlivých volitelných předmětů je podmíněno minimalním počtem zájemců.
*Each specialisation will be opened only if there is sufficient number of enrollees
LANGUES VIVANTES CIZÍ JAZYK FOREIGN LANGUAGE Langue vivante A (LVA) : Cizí jazyk A - Foreign Language A
Anglais (Angličtina - English) Allemand (Němčina - German)
Langue vivante B (LVB) : Cizí jazyk B - Foreign Language B
Allemand (Němčina - German) Espagnol (Španělština – Spanish) Anglais (Angličtina - English)
* Attention, l’une des deux langues vivantes doit obligatoirement être l’anglais.
Jeden z vybraných cizích jazyků musí být povinně angličtina.
Please note : one of the chosen languages MUST be English.
LYCEE FRANÇAIS DE PRAGUE
Drtinova 7, 150 00 Prague 5, Rép. Tchèque Tél. : +420 222 550 000, Fax : +420 257 310 546
Email : [email protected]
OPTIONS FACULTATIVES VOLITELNÉ PŘEDMĚTY OPTIONAL SUBJECTS
Une option au maximum, seule l’option Latin est cumulable.
Nejvýše jedna možnost, lze kombinovat pouze latinu - One option at most, only the Latin option can be com bined.
Latin (5
èmeannée) Tchèque (langue étrangère)
Latin (pátým rokem) - Latin (fifth year) Čeština (Cizí jazyk) – Czech (Foreign Language)
Histoire des arts (2
èmeannée) Russe LVC (2
èmeannée)
Dějiny umění (druhým rokem) - Art History (second year) Ruština LVC (druhým rokem) - Russian FLC (second year)
Cinéma Audiovisuel (2
èmeannée)
Filmová a audiovizuální výuka (druhým rokem) – Audiovisual cinema (second year)
L’inscription à une option rend la présence de l’élève obligatoire pour l’année. Attention, les enseignements optionnels sont placés à l’emploi du temps APRÈS les enseignements obligatoires, c'est-dire la plupart du temps en fin de journée, après 15h40.
Zápisem na jakýkoliv předmět se žák zavazuje k celoroční účasti na hodinách. Upozorňujeme, že výuka volitelných předmětů probíhá vždy v posledních hodinách výuky (většinou od 15:40).
Enrolling for any of the subjects binds a student to participate in the lessons through the whole school year. We would like to point out that the optional subjects lessons are the last ones (usually starting at 3:40 pm).
La signature de la présente fiche d’inscription vaut acceptation du règlement intérieur et financier du Lycée français de Prague. Les bulletins scolaires sont remis en main propre à l’élève.
Podpisem této přihlášky potvrzujete Váš souhlas se školním a finančním řádem Francouzského lycea v Praze. Vysvědčení jsou žákům předávána pouze do vlastních rukou.
With your signature you give your consent to abide by the General and Financial Rules of Lycee Francais de Prague. Reports will be handed to students in person.
Nom du signataire……… Date : ……….
Jméno zákonného zástupce - Name Datum - Date
Signature du responsable légal
Podpis zákonného zástupce Signature of a legal representative
En application des articles 12 et 13 du Règlement Européen 2016-679 du 27 avril 2016, relatif à la protection des données à caractère personnel et de la Loi Informatique et Libertés modifiée, nous vous informons que le LYCEE FRANÇAIS DE PRAGUE en sa qualité de Responsable de Traitement collecte des données vous concernant à des fins de gestion administrative et pédagogique des élèves et établir des statistiques.
Vos données seront strictement réservées au LYCEE FRANÇAIS DE PRAGUE et aux services habilités et seront conservées pendant toute la durée de la scolarisation de votre enfant. Aux termes de notre Politique de protection des données, nous nous engageons à protéger vos données de toute atteinte.
Conformément aux art.15 à 22 du Règlement Européen 2016-679 du 27 avril 2016, relatif à la protection des données à caractère personnel , vous pourrez demander à tout moment et gratuitement à accéder aux données vous concernant, à les rectifier ou à les effacer, auprès du Délégué à la protection des données du LFP [email protected] ou à la CNIL en l’absence de réponse satisfaisante dans le délai d’un mois.
REQUIRED DOCUMENTS
I. PERSONAL DOCUMENTS
French children
Photocopy of Family Record Book Czech children
Photocopy of parents' ID
Photocopy of child's birth certificate Children of other nationality
Birth certificate issued by the respective Embassy or Consulat
Photocopy of the passport or photocopy of the prof of permanent stay of both parents II. SCHOOL DOCUMENTS
Documents when coming from a French school
Proof of completion of schooling – Exeat - will be issued by the current school
Proof of entry into the next year (specialisation)
Present a student's portfolio in case it was given to parents by the previous school
Present the last three school reports Documents when coming from Czech school
Copy of the last two mid-year school reports
Proof of name and address of the previous school Documents when coming from other foreign school
Present all school and other documents given by the previous school III. HEALTH
Filled in form of a school doctor (see the attachment)
Photocopy of the vaccination book IV. FOR SCHOOL ACCOUNTING
Filled in and signed General and Financial Rules of Lycee Francais de Prague valid for the school year 2020-2021
Bank details – account number of the school fees payee
DOSSIER MÉDICAL
DOTAZNÍK ŠKOLNÍHO LÉKAŘE / MEDICAL FILE
Année scolaire/ Školní rok / School year : 20…. / 20….
ELEVE/Student
Nom /Příjmení /Surname : ……… Prénom/ Jméno/First name:………..
Date de naissance/ Datum narození /Date of birth : ……….…… Entrée en classe/ Třída/ class: ...
RENSEIGNEMENTS MÉDICAUX / INFORMACE O ZDRAVOTNÍM STAVU/ MEDICAL INFORMATION
Problème d’allergie : OUI / NON (si oui préciser type d’allergie et traitement)
Alergie : ANO / NE (pokud ano, uveďte druh alergie a způsob léčby
Allergies : YES / NO (If yes, please indicate the type of allergy and the treatment)
………
………
Problème auditif ou visuel : OUI / NON (si oui préciser pathologie et correction)
Zrakové a sluchové obtíže : ANO / NE (pokud ano, uveďte druh obtíží a způsob léčby)
Problem with sight or hearing : YES / NO (If yes, please give details)
………...
...
Problème d’orthophonie : OUI / NON (si oui préciser pathologie et traitement)
Logopedická péče : ANO / NE (pokud ano, upřesněte)
Learning disorders : YES / NO (if yes, please give details and specify treatment))
………...
...
Fracture ou entorse : OUI / NON (si oui préciser localisation et traitement et date)
Zlomeniny a jiné úrazy : ANO / NE (pokud ano, uveďte druh úrazu, datum a způsob léčby)
Fractures or sprains : YES /NO (if yes, indicate the affected area, treatment and date)
………...
...
Interventions chirurgicales et hospitalisations : OUI / NON (si oui préciser pathologie et date)
Chirurgické zákroky a hospitalizace : ANO / NE (pokud ano, uveďte typ zákroku + rok)
Surgical interventions and hospitalizations: YES /NO (if yes, please give details and date)
………
………
………
Maladies infectieuses ou infantiles (ex : varicelle, scarlatine, rougeole, hépatite, rubéole, oreillons, coqueluche…) préciser type de maladie et date
Dětské a infekční choroby : (např.: plané neštovice, zarděnky, spalničky,příušnice,černý kašel,
Pièce à fournir / Doklady k předložení / Required documents :
Photocopie des vaccinations à jour /Fotokopie očkovacího průkazu (seznamu očkování)/ A photocopy of vaccinations to date
Date et signature des parents: ………..……….
Datum a podpis rodičů / Date and Signature of parents spála, infekční žloutenka,…) , uveďte název + rok
Infectous or childhood diseases : (ex. Chicken pox, scarlet fever, measles, German measles, mumps, whooping cough,… ) Please give detail and date
………..……….
………..……….
Maladie chronique (ex : diabète, asthme, hypertension, maladie cardio–vasculaire…) OUI / NON (si oui préciser type de maladie et traitement)
Chronická onemocnění (např.: cukrovka, astma, vysoký krevní tlak, choroby srdce, …) ANO / NE (pokud ano, uveďte druh onemocnění a způsob léčby)
Chonic illness : (ex. diabetes ,asthma ,high blood pressure, cardio-vasculaire disease …) YES / NO (If yes, indicate the illness and type of treatment)
………...
...
Prend-il un traitement médicamenteux permanent? Si oui; lequel? (précisez la posologie):
Užívá pravidelně léky ?Jestli ano, uveďte název a upřesněte dávkování :
Does the student have a permanent medical treatment? If yes, what? (specify the nature of the treatment)
………
………..……….………
Permission médical : OUI / NON
J’autorise l’infirmière à donner à mon enfant un Antipyrétique (paracétamol) en cas de fièvre
Souhlasím : ANO / NE
Aby školní zdravotnice podala mému dítěti v připadě horečky Antipyretikum (paracetamol)
Medical permission : YES / NO
I agree that the school nurse cane give to my child Antipyreticum ( paracetamol) in case of fever
Inaptitude en éducation physique et sportive : OUI / NON
(Si oui il vous sera demandé obligatoirement un certificat médical établi par votre médecin traitant.)
Částečné / úplné osvobození z hodin tělesné výchovy a sportu : ANO / NE (pokud ano, doložte potvrzením od ošetřujícího lékaře dítěte.)
Inability to participate in Physical Eeducation and sports: YES / NO (If yes, you will be asked to produce a mandatory medical certificate verified be your physician.)
……….………..
………..…………..………...
Lycée français de Prague – Drtinova 7 – 150 00 PRAGUE – Tél. : +420 222 550 000 – www.lfp.cz Numéro de compte : 105160166/0100 – Banque : Komercni Banka
IBAN : CZ6101000000000105160166 – BIC/SWIFT : KOMBCZPPXXX
Financial regulation of Lycée Français de Prague 2020/2021
Acceptance of these conditions is obligatory for new enrollments or re-enrollments.
Fees have been approved by the Agency for French Teaching Abroad. They include:
- tuition fees - application fees
- exam charges (Brevet National Diploma, preliminary Baccalaureate examinations, Baccalaureate).
Additional fees (such as field trips, school trips, etc.) might be required and are subject to a specific regulation.
1) Tuition fees
In secondary school, parents have to provide school supplies which are, therefore, not included in the tuition fees.
In case of termination of attendance before the end of month, tuition fees must be paid for the whole month. A written notice of termination during the academic year must be sent before the date of termination of attendance to the following addresses:
[email protected] and [email protected]. Otherwise, tuition fees will be due with no regard to the termination.
When a child arrives once the academic term has already started, tuition fees are assessed and invoiced from 1st of the month of arrival (including annual invoices, the academic year being divided into 10 months).
In case of expulsion of child from school for longer than two consecutive weeks, a deduction will be made on the basis of the number of missed school days.
In case of exceptional closure of the school for longer than two consecutive weeks, a deduction will be made on the basis of the number of missed school days.
In case of absence of child due to an accident or illness for longer than four consecutive weeks (except for school holidays) supported by a medical certificate, an exceptional deduction will be granted to the family upon written request. A deduction will be calculated on the basis of the number of missed school days.
Tuition fees for the year 2020/2021 are as follows:
Rates Kindergarten Elementary School Middle school High School
All nationalities CZK 165 000 CZK 165 000 CZK 215 000 CZK 235 000
Rates CI 6th grade 7th /8th /9th grades 10th /11th /12th grades Pupils from Czech bilingual
classes CZK 100 000 CZK 90 000 CZK 120 000 CZK 135 000
Pupil can be enrolled to the Czech bilingual class since CI grade. Nevertheless, the enrollment to the 6th bilingual grade is possible.
Admission consists in entrance test from different subjects. Pupils have to write in czech language. Only the pupils who have never studied at LFP are allowed to pass this test. As soon as the results are known, the list of successful pupils is prepared and they are invited to complete their enrollment to the school.
A pupil enrolled to the 6th bilingual grade will keep benefiting from a preferential rate until the end of his/her school years. A pupil who finishes CI grade and passes to the classic 6th grade won't keep benefiting from a preferential rate.
A pupil attending the Czech bilingual class will keep benefiting from a preferential rate until the end of his/her school years (see above the rates in the second table). In case of leaving Lycée Français de Prague for longer than three school terms, the pupil may no longer benefit from these rates upon his/her return. If the pupil leaves Lycée Français de Prague in the course of term, the period is calculated from the beginning of the following term.
2) Application fees
Admission of a pupil is conditioned by the payment of application fee. Thus, application fees are to be paid as soon as registration is requested, although they will only be invoiced with the first school fees’ payment call.
Application fees are non-refundable unless registration is denied by the school (lack of capacity).
Application fees are to be paid once again if a child is absent from Lycée Français de Prague for longer than three school terms between the day of his/her departure and the day of his/her registration renewal. If a pupil leaves Lycée Français de Prague in the course of the academic term, the period is calculated from the beginning of the following term.
Application fees for the school year 2020/2021 are CZK 18 500.
Lycée français de Prague – Drtinova 7 – 150 00 PRAGUE – Tél. : +420 222 550 000 – www.lfp.cz Numéro de compte : 105160166/0100 – Banque : Komercni Banka
IBAN : CZ6101000000000105160166 – BIC/SWIFT : KOMBCZPPXXX 3) Exam charges. Exam charges are as follows:
- Baccalaureate (12th grade) : CZK 11 300
- Preliminary Baccalaureate examinations (11th grade) : CZK 5 600 - Brevet national diploma (9th grade) : CZK 2 600
These fees are to be paid by the second term of the academic year and they cover all the school costs except for the costs related to optional courses.
4) Solidarity fund donation
If the payer wishes to support families in difficult financial situation, he can make a contribution of 5 000 CZK, 10 000 CZK or 15 000 CZK to the school help fund. In that case, we ask him to tick the corresponding box below. He will be asked to pay this contribution upon the invoice in the beginning of the first term.
5) Payment terms
Invoices must be paid at each term (except for the annual invoices), within 15 days at the latest following receipt of the invoice.
There are three terms: September-December (40% of the annual rate), January-March (30% of the annual rate) and April-June (30% of the annual rate).
The payers cannot affect the matching of their payments to the debt. Their payments are always deducted from the oldest debt.
In case of non-payment on due date, the persons in charge cannot refuse the compensation of the debt by the funds of allocated scholarship (including the travel grant or canteen grant).
The payments in euro are converted according to the official exchange rate of the French Ministry for the Economy and Finance (http://www.economie.gouv.fr/dgfip/taux_chancellerie_change_resultat/pays/CZ) valid on the date of the receipt of the payment (the rate may change every 1st and 16th day of the month).
In case of non-payment on due date, and after two reminders, the person in charge risks legal challenges and may pay the contractual fees for the prosecution as follows (exemple):
- 2 500 CZK + VAT in case of payment of the debt after receiving the reminder sent by the attorney at law - Additional 10 000 CZK + VAT in case of payment of the debt after signing the acknowledgement of debt - Additional 17 000 CZK + VAT in case of lawsuit and/or execution (absence of the acknowledgement of debt) - Additional 7 000 CZK + VAT in case of execution due to non-payment pursuant to acknowledgement of debt.
This list is not exhaustive.
Furthermore, it is at the discretion of Lycée Français de Prague to deny schooling to the child whose person in charge has not timely paid the tuition fees, also during the school year.
Data protection : In application of articles 12 and 13 of the European Regulation 2016-679 of April 27, 2016, relative to the protection of personal data and the amended ‘Computer Processing of datas and freedom’ Act, we inform you that the Lycée Français de Prague in its capacity as Manager of Processing collects data about you for purposes of administrative and financial management of students' schooling and to compile statistics.
Your data will be strictly reserved for the administrative and financial management services and will be kept at the French School of Prague for the time necessary to ensure this management. Under our Data Protection Policy, we are committed to protecting your data from harm.
In accordance with the art.15 to 22 of the European Regulation 2016-679 of April 27, 2016, relative to the protection of personal data, you can request at any time and free access to your data, rectify or erase , to the LFP Data Protection Officer ([email protected]) or the CNIL in the absence of a satisfactory answer within one month. The agent may also oppose the treatment concerning him for legitimate reasons.
Lycée français de Prague – Drtinova 7 – 150 00 PRAGUE – Tél. : +420 222 550 000 – www.lfp.cz Numéro de compte : 105160166/0100 – Banque : Komercni Banka
IBAN : CZ6101000000000105160166 – BIC/SWIFT : KOMBCZPPXXX
PLEASE COMPLETE ALL REQUIRED FIELDS NAME and SURNAME of the pupil:
1. The payer of school fees and registration fee is*:
(* Please do not mention more than one person)
NAME:
SURNAME:
If the payer is a society, please indicate name and surname + contact (e-mail address necessary) to the person in charge of invoices:
NAME:
SURNAME:
ADDRESS / e-mail:
STAMP:
2. The payer of exam enrolment fees is (if different):
NAME:
SURNAME:
ONLY THE PAYER WILL AUTOMATICALLY HAVE ACCESS TO THE INVOICE WITH HIS E-MAIL ADDRESS.
The payer wants to be invoiced:
annually (one invoice for the whole year) quarterly (one invoice for each term)
The payer wants to make a donation to the solidarity fund of:
0 CZK 5 000 CZK 10 000 CZK 15 000 CZK
Read and approved / date Place and date / signature of the payer (if different) Signature of legal representative
