Admissions Application - Applicant Information

Application For Admissions

American Renaissance Academy
Student Information
Full Legal Name*

First NameMiddle NameLast Name
Preferred Name
Gender*
Date of Birth*

MonthDayYear
Place of Birth*
School Year Applying to*
Grade Applying to*
If applying for kindergarten, the applicant must be potty trained. Is the applicant potty trained?*

Yes, my child is completely potty trained and can use the restroom without assistance.Yes, my child is potty trained, but may need assistance. I acknowledge that he/she must be completely potty trained before the first day of school.No, my child is not yet potty trained. I acknowledge that he/she must be completely potty trained before the first day of school.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check here if Mailing Address is same as Home Address.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Professional organization, such as Hawaii Associate of Independent Schools (HAIS), Hawaii Council Private Schools (HCPS), and the Federal Government require us to provide data regarding the ethnic origins of our students. How would you like your child to be identified? Please indicate*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite
School Information
Check here if applicant is applying to Kindergarten and is not currently enrolled in Preschool
Current School*
Current Grade*
Name of All Previous Schools Applicant Attended, if applicable
Has this applicant skipped a grade?*

YesNo
What grade(s) has applicant skipped? Please explain.*
Has this applicant repeated a grade?*

YesNo
What grade(s) has applicant repeated? Please explain.*
Does your child have a documented disability that requires an accommodation(s) to apply to, test for, or attend ARA? If yes, please fully describe what reasonable accommodation(s) the applicant requires for test, or to attend ARA, and submit appropriate documentation (e.g. an IEP/504 plan).*
Type NA, if not applicable.
To what other schools are this applicant applying to?
Parent/Guardian Information #1
Full Name*

PrefixFirst NameLast Name
Phone Number*

Area CodePhone Number
E-mail
Relationship to Applicant*

FatherMotherGrandparentGuardianOther
Check here if this parent/guardian has sole custody or sole guardianship of the applicant.
Check here if home address is different from applicant's home address.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Currently employed?*

YesNo
Current Employer*
Occupation | Postion*
Work Phone*

Area CodePhone Number
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information #2
Full Name*

PrefixFirst NameLast Name
Phone Number*

Area CodePhone Number
E-mail
Relationship to Applicant*

FatherMotherGrandparentGuardianOther
Check here if home address is different from applicant's home address.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Currently employed?*

YesNo
Current Employer*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation | Postion*
Work Phone*

Area CodePhone Number
Check all that apply

Parents are marriedParents are separatedParents are divorcedMother has custodyFather has custodyJoint custodySingle family householdMother remarriedFather remarriedOther
Number of siblings*
Sibling #1

If student has more than 3 siblings, list the 3 school-age siblings closest to this applicant's age.
Name*

First NameLast Name
Current Grade*
Applying to ARA?*
Sibling #2
Name*

First NameLast Name
Current Grade*
Applying to ARA?*
Sibling #3
Name*

First NameLast Name
Current Grade*
Applying to ARA?*
How many siblings are not listed above?*
Friends and Relatives Who Attend(ed) ARA

List any friends and/or relatives that currently attend ARA or previously attended ARA. Include relationship to family and how long you have known him/her/them.
Referral Information
I/We have been referred to American Renaissance Academy by*
If you were not referred, enter N/A.
How did you learn about American Renaissance Academy?

NewspaperTelevisionRadioFacebookYelpTwitterARA Website (arahawaii.org)None of the AboveOther
Have you been referred to American Renaissance Academy to participate in a special program?*

Yes, P1 SportsYes, FAME Performing ArtsNo
Submit Application Information
Name of person filling out this application*

First NameLast Name
Relationship to Applicant*

Parent/Guardian #1Parent/Guardian #2Other
E-mail confirmation to be sent to*
I hereby certify that the above statements are true to the best of my knowledge and agree to furnish proof and other documentation as requested. I acknowledge that failure to disclose any requested information, or providing inaccurate, incomplete and/or false or misleading information, may result in the disqualification or dis-enrollment of my child.*

Check here to certify this application
Should be Empty:

Application For Admissions

Student Information

School Information

Parent/Guardian Information #1

Parent/Guardian Information #2

Sibling #1

Sibling #2

Sibling #3

Friends and Relatives Who Attend(ed) ARA

Referral Information

Submit Application Information