AISA Application Form

American International School of Abuja

Application Form
Mission Statement

Challenge, Collaborate, Empower: Inspiring Global Citizens to be Lifelong Learners.

Vision Statement

The AISA vision is to be a world-class international school that develops students' skills, knowledge, and character to enable them to achieve their full potential and pursue their dreams.

Core Values
1. All people have equal inherent worth and dignity.
2. Collaboration and consensus-building contribute to an effective community.
3. Embracing diversity strengthens individuals and unifies our community.
4. Continuous growth and perseverance are fundamental in pursuing one's goals.
5. Intentionally building trust facilitates dependable relationships.
If your academic mission, vision, and core values align with ours, we welcome you to apply to our school. We look forward to welcoming you to the AISA community.

An application for admission must be submitted for each student in your family applying to AISA.

Student Information

Enter your child's information here.
Name *

First Name Middle Initial Last Name
Nickname/Preferred Name
Gender *
Birth Date *

Month Day Year
Country of Citizenship *
Dual Citizenship *
Enter other country of citizenship if dual citizen.
School year that the student is applying to?
Enrolling Grade *
Is the student currently in Abuja? *
If the student is not currently in Abuja, what is the anticipated date of arrival?

Home/Residential Information
Home Telephone Number
Enter a valid local phone number e.g. 0805 054 9963
Home Address in Abuja *

Street Address

Street Address Line 2

Previous School Information
Has this student ever been to school before? *
School Name
For students who are currently enrolled in a school.
School Address

Street Address

Street Address Line 2

Country
Last grade completed

Student Background Information
What are your child's strengths (e.g. sports, academics, etc.)?
Do you have any concerns about your child's education (e.g. social, emotional, academics, etc.)?
Has your child had any serious academic issues raised by the school in the last three (3) years? If yes, please explain.
Has your child ever had or been involved in any serious disciplinary issues? If yes, please explain.
Has your child ever received specialized classes, an Individualized Education Plan (IEP), or an Educational Support Plan? If yes, please elaborate.
Has your child ever been retained a grade? If yes, which grade(s) and why?

Parent/Guardian Information
Parent/Guardian 1 *

First Name Last Name
Relationship to Student *
Telephone Phone Number *
Enter a valid local phone number e.g. 0805 054 9963
WhatsApp Number
Enter a valid WhatsApp number
Email *
example@example.com
Employer *
Parent/Guardian 2

First Name Last Name
Relationship to Student
Telephone Number
Enter a valid local phone number e.g. 0805 054 9963
WhatsApp Number
Enter a valid local phone number
Email
example@example.com
Employer

Emergency Contact Information

Please enter your child's contact in the order you would like then to be contacted in case of an emergency.
Emergency Contact 1 *

First Name Last Name
Relationship to Student *
Can pick up student? *
Phone Number *
Enter a valid local phone number e.g. 0805 054 9963
Emergency Contact 2

First Name Last Name
Relationship to Student
Can pick up student?
Phone Number
Enter a valid local phone number e.g. 0805 054 9963

Student's Medical Information
Physician's Name

First Name Last Name
Phone Number
Enter a valid local phone number e.g. 0805 054 9963
Health History
Does the student have any allergies? *
Please list all allergies
Does the student have any other medical conditions? *
Please list all other medical considerations
Medical Emergency

In case of emergency, please take to this hospital
Name of Hospital
Address

Street Address

Street Address Line 2
Phone Number
Enter a valid local phone number e.g. 0805 054 9963

Vaccination Agreement
Immunisation at AISA

All students enrolled at AISA must provide proof that they have had, or are in the process of completing all of the following immunisations before entering school:

Required Vaccinations

1. Diphtheria, Tetanus, Pertussis (DTP Series)

2. Measles, Mumps, Rubella (MMR series)

3. Poliomyelitis (OPV/IPV Series)

4. Yellow Fever

5. Tuberculosis PPD Skin Test or BCG Vaccination

Proof of required vaccination must be submitted before the student can begin to attend classes.

I, Parent/Guardian First Name Parent/Guardian Last Name understand the above vaccination agreement. By signing this agreement, I hereby agree to abide to the above mentioned stipulations. Parent/Guardian Signature . Date

The electronic signature, and all of its related fields, replaces a handwritten signature on paper and is legally binding. This electronic signature below and its related fields are treated like a handwritten signature on a paper form.

Document Upload

Please upload your supporting documents here.
Birth Certificate *

Cancel of
Passport Sized Photograph *

Color photo, taken in the last 6 months. No filters. No selfies, white or off-white background.
Cancel of
Passport Data Page *

Upload your child's passport information page here.
Cancel of
Health Form/Immunizations

Cancel of
2019-2020 Report Cards

Upload complete report cards for the year. (e.g. Term 1, 2, & 3 or Semester 1 &2 as one document).
Cancel of
2020-2021 Report Cards

Upload complete report cards for the year. (e.g. Term 1, 2, & 3 or Semester 1 &2 as one document).
Cancel of
2021-2022 Report Card (Semester 1)

Upload complete report cards for the semester or term(s) as one document.
Cancel of
Educational Testing Reports or Recommendations

Student's with IEP's or Psych-Ed Evaluations ONLY.
Cancel of

Application Statement

Please read carefully and enter your details as needed.
I Parent/Guardian First Name* Parent/Guardian Last Name* attest that all the information provided in this application is accurate to the best of my knowledge and all appropriate information regarding my child is correct.

I understand and agree to abide by all school policies and regulations, which may be updated from time to time. I agree to update any pertinent information that has changed, such as my child's health information, telephone numbers, email and home addresses, etc., in a timely fashion. I will take an active role in my child's education, be responsive to any concerns raised by the school, and support and abide by all recommendations given by the school.

I understand that there is no guarantee of admission and that admissions decisions made by the school are final. I understand that admissions decisions are based on a holistic view considering all factors and a complete review of the student's application and records. I understand that should my child's application be denied, the $500.00 Application Fee paid is non-refundable. Should I make a subsequent application for my child, I would be charged an additional $500.00 Application Fee for the new application.

I authorize AISA to treat any minor injuries sustained by my child at school. I understand and respect the school's judgment in serious medical situations. If the school should decide that the situation is life-threatening and that urgent/immediate medical attention is required, my child will be taken to the preferred Hospital listed in my application unless my child is part of an organization with a prior agreement with the school.

I agree to hold the school blameless and free of liability for any loss, damage or injury sustained by my child or myself.

I hereby make this application for admission for my child to the American International School of Abuja in accordance with the school's terms, rules, and regulations. I have read and understood what is written above. I understand that my signature below gives the school permission to conduct appropriate testing. Should this student be admitted to the American International School of Abuja, I agree to be responsible for all charges, including incidental expenses. I understand that I must pay all tuition charges by specific due dates, and penalties will apply after those due dates. Should the student be admitted to the American International School of Abuja, I agree to partner with the school in my child's education by abiding by the school calendar, maintaining open lines of communication with the teachers and administration, and regularly attending parent-teacher meetings throughout the school year.

I understand and accept that as a student of AISA, my child's picture may be used in school publications such as yearbooks, brochures, newsletters, and the school website.

Should the school find it necessary to close at any time during the school year due to reasons beyond its control, I understand that fees paid to the school will not be refunded.

Signature (type your name here)*

Today's Date*

Electronic Signature

The electronic signature, and all of its related fields, replaces a handwritten signature on paper and is legally binding. This electronic signature below and its related fields are treated like a handwritten signature on a paper form.
I affirm that the information provided in this application is accurate, correct and complete, to the best of my knowledge and belief.
Parent/Guardian Signature *

Clear
Today's Date

Month Day Year
Date
Should be Empty:

American International School of Abuja

Mission Statement

Vision Statement

Core Values

Student Information

Home/Residential Information

Previous School Information

Student Background Information

Parent/Guardian Information

Emergency Contact Information

Student's Medical Information

Health History

Medical Emergency

Vaccination Agreement

Immunisation at AISA

Required Vaccinations

Document Upload

Application Statement

Electronic Signature