NESA Affiliate School Application Form

First Name *

Last Name *

Job Title *

Email *

Organization *

Name of school, group of schools, or school system.

Organization Primary Email *

Organization Website *

Address Line 1 *

Address Line 2

City *

State/Province

Postal Code *

Country *

Enter required value United States Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo Democratic Republic of Cook Islands Costa Rica Coted Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard Island and Mc Donald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isleof Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Democratic Peoples Republic Korea Republic of Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands British Virgin Islands US Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Sark

We are a Group of Schools or School System

A Group of Schools or School System is defined by uniform branding, common governance, single incorporation (if applicable) and a centralized management office. Please check the box if you qualify.

Names of Schools in Group/System (if applicable)

If applicable, please list the names of all individual schools in your group or system, separated by commas.

School Profile

A brief paragraph describing your school, to be included in the NESA Membership Directory upon acceptance.

Program(s)/Curriculum

Please select all programs offered.

ACT

American

American/International

AP

PSAT/SAT

Canadian

English National

GCE AS/A Levels

IGCSE

GCSE

French Baccalaureate

IB CP

IB DP

IB MYP

IB PYP

High School Diploma

Local National

Other

Grade Levels

Please select all grade levels offered.

Early Years (Pre-K)

Kindergarten

Elementary School

Middle School

High School

Student Enrollment

Student enrollment as of April of the current year.

up to 100

101-200

201-400

401-600

601-800

801-1000

1001-1500

1501 and over

Number of Faculty/Staff

Total number of current employees.

School Logo

To include your school's logo on the Our Schools page of the NESA website upon acceptance, please upload it as a transparent-background PNG file, minimum size: 400px. 

20MB max

Full Name of Head of School *

Head of School Email *

Full Name of Administrator/Administrative Assistant

Administrator/Administrative Assistant Email

Full Name of Business/Finance Manager

Business/Finance Manager Email

Full Name of HR Director

HR Director Email

Full Name of Curriculum/Learning Director

Curriculum/Learning Director Email

How did you hear about NESA? *

Comments

Please let us know if there is anything not covered by this form.

I confirm that the information given in this form is true, complete and accurate​ *

Electronic Signature of Head of School *

Date *