Online Admission Form

Basic Details

Grade Level *

Instruction Model *

First Name *

Last Name

Gender *

Date Of Birth *

Mobile Number

Email *

Student Photo

Place Of Birth: City *

State *

Country *

Person Enrolling Student / Completing this form: First Name *

Last Name *

Relationship to Student *

Student living with *

Home Phone:

District of Residence: *

School Currently Attending (the Sending School) *

Academic Program *

Enrollment Status *

Student Address

Student Home Address *

Street Address *

City *

State * 2-letter code (e.g., CA, MB)

ZIP Code *

Country *

Is your mailing address different from your home address?

Parent Detail

Father Name

Father Phone

Father Email

Father's Country of Birth

Decease (if applicable)
Yes No

Father Address (if different than Student Home Address)

Street Address

City

State 2-letter code (e.g., CA, MB)

ZIP Code

Country

Decease (if applicable)
Yes No

Mother Name

Mother Phone

Mother Email

Mother's Country of Birth

Decease (if applicable)
Yes No

Mother Address (if different than Student Home Address)

Street Address

City

State 2-letter code (e.g., CA, MB)

ZIP Code

Country

Guardian Details

If Guardian Is * Father Mother Other

Guardian Name *

Guardian Relation *

Guardian Email

Guardian Phone

Guardian Address

Street Address

City

State 2-letter code (e.g., CA, MB)

ZIP Code

Country

Emergency Contacts

Emergency Contact 1

Name

Phone

Email

Emergency Contact 2

Name

Phone

Email

Emergency Contact 3

Name

Phone

Email

If Applicable

Date of Original Entry to US (student only)

Start Date of First US School (student only)

English as a Second Language or English Language Learning Start Date

Homeless Outreach

Is your current address a temporary living arrangement?

If yes, is this due to loss of housing or economic hardship?

Student Ethnicity and Language Information

Student Ethnicity (check all that apply)

White, Not Hispanic
Black, Not Hispanic
American Indian or Alaskan Native
Hispanic
Asian or Pacific Islander

Native Language of Parent/Guardian/Person Enrolling Student

If English is not the native language, please check here
If English is spoken and understood by the parent/guardian/person enrolling student, please check here

Home Language

What primary language does your child speak at home?

English

Schools Previously Attended

School

Phone

Last Grade

Address

Street Address

City

State 2-letter code

ZIP Code

Country

From Date

To Date

Upload Documents

1. Withdrawal Form or Transfer Card *

Upload the withdrawal form or transfer card from the previous school.

2. School Records *

Upload any/all that apply: Transcript or report cards, IEP (if applicable), Immunizations

You can select multiple files

3. Proof of Age *

Upload one of the following: Original Birth Certificate OR Valid Passport

4. Proof of Residency *

Upload ANY TWO documents proving residency (utility bills, lease agreement, etc.)

You can select multiple files (minimum 2 required)

Online Registration

Basic Details

Student Address

Student Home Address *

Student Mailing Address

Parent Detail

Father Address (if different than Student Home Address)

Mother Address (if different than Student Home Address)

Guardian Details

Guardian Address

Emergency Contacts

Emergency Contact 1

Emergency Contact 2

Emergency Contact 3

If Applicable

Homeless Outreach

Student Ethnicity and Language Information

Schools Previously Attended

Address

Upload Documents