JDS Student Information Form

Student Information Form
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
Address*

Street Address

Apartment/Floor/Suite Number

CityState

Zip Code
NYC Student ID #
The NYC Student ID # is Listed on School-Issued ID’s & Report Cards. It’s Also Stated on Most Homeschooling Papers Sent in the Mail (See Examples.)
Father’s Name
Phone Number
Mother’s Name
Phone Number
Legal Guardian’s Name (If Applicable)
Phone Number
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

CityState / Province

Postal / Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
Add Another Sibling

YesNo
Legal Name*

First NameMiddle Name (if applicable)Last Name
Date of Birth*

MonthDayYear
As Stated On Birth Certificate
School Grade*
For Academic Year*
NYC Student ID #
Date of Admission*
Last Public/Private School Student Attended Within NYC (If Applicable)

Name of School

Address

City

Zip Code
Before Enrolling, Student Was In…*

Public/Private SchoolBeing HomeschooledAnother Islamic InstitutionRecently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…*

Parents/GuardianSomeone ElseJāmiah Dār as-Sunnah
This Form Was Filled By…*

Parents/GuardianSomeone ElseStudent
Should be Empty: