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Student Information Form
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
Address
*
Street Address
Apartment/Floor/Suite Number
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
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
City
State / Province
Postal / Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
Add Another Sibling
Yes
No
Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Date of Birth
*
-
Month
-
Day
Year
As Stated On Birth Certificate
School Grade
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
For Academic Year
*
Please Select
2020/2021
2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
2031/2032
2032/2033
2033/2034
2034/2035
2035/2036
2036/2037
2037/2038
2038/2039
2039/2040
NYC Student ID #
Date of Admission
*
Last Public/Private School Student Attended Within NYC (If Applicable)
Name of School
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Before Enrolling, Student Was In…
*
Public/Private School
Being Homeschooled
Another Islamic Institution
Recently Came To The U.S.A. (Never Attended School Here)
Homeschooling Paperwork is Being Handled By…
*
Parents/Guardian
Someone Else
Jāmiah Dār as-Sunnah
This Form Was Filled By…
*
Parents/Guardian
Someone Else
Student
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