ACCRA ACADEMY ADMISSION 2023 FORM

ACCRA ACADEMY

2023 SHS 1 ADMISSION NOTICE
Name

First NameLast Name
INDEX NUMBER
JHS ATTENDED
PROGRAM OFFERED

ADMISSION FORM 'A'

STUDENT RECORD FORM
UPLOAD PASSPORT PICTURE

Cancelof
NAME

(SURNAME)(FIRST NAME) (MIDDLE NAME)
DATE OF BIRTH

MonthDayYear
Date
PLACE OF BIRTH
SEX

POSTAL ADDRESS
RESIDENTIAL
DIGITAL ADDRESS
DISTRICT
REGION
LAST SCHOOL ATTENDED
REGION
AGGREGATE OBTAINED
RELIGION
POSITION(s) HELD IN SCHOOL

FATHER

First NameLast Name
ADDRESS
HOMETOWN
REGION
CONTACT(WHATSAPP)
BUSINESS ADDRESS
MOTHER

First NameLast Name
ADDRESS
HOMETOWN
REGION
CONTACT(WHATSAPP)
BUSINESS ADDRESS

NAME OF PERSON RESPONSIBLE FOR STUDENT EDUCATION

First NameLast Name
ADDRESS OF PERSON RESPONSIBLE FOR STUDENT EDUCATION
EMAIL TO WHICH ALL CORRESPONDANCE INCLUDING TERMINAL REPORT SHOULD BE SENT
example@example.com
MOBILE NUMBER
Please enter a valid phone number.

ADMISSION FORM 'B'

STUDENT DECLARATION
I blanks do accept the place offered me.

I do hereby promise to abide by the Accra Academy School Code of Discipline which is designed to mould my character and my way of life; make me a responsible and a useful citizen acceptable to Accra Academy community in particular and by Ghanaian Society in general. (please find attached).

I further promise to comport myself at all times and in all places in such a way that the name of the school shall not be brought into disrepute.

I promise again, to show absolute, respect to all Seniors, the Teachers and Non-Teaching Staff, the Headmaster and the General Public, both old and young.

Above all, I solemnly promise to uphold, protect and defend the good name of Accra
Academy School and always behave in a manner compatible with the norms of this
community.
In the event of my inability to live according to the solemn promises I have made, the school deserves the right to discipline me in accordance with the Code of Discipline.

We firmly undertake to be jointly held responsible for the violation of any of the school regulations and code of conduct provided by Ghana Education Service and the necessary sanctions applied

Student First Name Last Name Date Signature

Parent First Name Last Name Date Signature

ADMISSION FORM 'C'

PARENTS/GUARDIANS DECLARATION FORM
I, blanks do accept the offer made to my ward by the school.

I further promise to discharge all my responsibilities to the school and to my ward and to cooperate with the school in providing for my ward a sound academic and moral education.

I do hereby promise to present myself anytime authorities invite me and also participate in all meeting of parents and guardians.

I promise to corporate with the school authorities in the discharge of any disciplinary
decision taken on my ward.
GuardianFirst Name Last Name Date Signature

ADMISSION FORM D

MEDICAL HISTORY
NAME OF STUDENT

First NameLast Name
DATE OF BIRTH

MonthDayYear
Date
HEIGHT
WEIGHT
DOES HE SUFFER FROM:
OTHER CONDITION(s) WHICH MAY NEED ATTENTION
HAS HE HAD ANY SERIOUS ILLNESS OF OPERATION AT ANY TIME IN HIS LIFE? IF SO,STATE ILLNESS/OPERATION
FROM WHICH DOCTOR OR HOSPITAL DID HE RECEIVE TREATMENT?
DOES HE WEAR GLASSES? IF SO WHAT ARE THE PRESCRIPTIONS?
IF NOT, CAN HE SEE CLEARLY TO READ FROM BOOKS AND CLASSROOM BOARD? (PLEASE TAKE HIM TO AN OPTICIAN IF THERE IS ANY DOUBT ABOUT THIS)
DOES HE HAVE ANY HEARING IMPAIRMENT? IF SO, PLEASE DESCRIBE THE CONDITION.
HAS HE HAD HIS TEETH CHECKED BY THE DENTIST RECENTLY
CAN HE EAT NORMAL SCHOOL FOOD?
(IF NOT ATTACH A MEDICAL CERTIFICATE FROMA QUALIFIED DOCTOR TO THAT EFFECT)
IS HE ALLERGIC TO ANY FOOD? STATE WHICH FOOD.
(PLEASE NOTE THAT IF HE CANNOT EAT CORN,KONTOMIRE AND BEANS OR ANY OF THESE, HIS STATUS AS A BOARDER WILL BE RECONSIDERED).
CAN HE TAKE PART IN ALL NORMAL ACTIVITIES LIKE SPORTS GAMES,HOUSE CLEANING etc.?
IF NOT PLEASE ATTACH A MEDICAL CERTIFICATE FROM A QUALIFIED DOCTOR.
DOES HE HAVE TO TAKE ANY MEDICINE REGULARLY? IF SO, WHAT MEDICINE,HOW OFTEN IS IT ADMINISTERED AND WHY.
WHAT MEDICINE ARE YOU ALLOWING HIM TO BRING TO SCHOOL?
ANY OTHER COMMENT OF INFORMATION YOU WOULD LIKE US TO KNOW ?
IN CASE OF SEVERE ILLNESS OR EMERGENCY, PLEASE CONTACT

First NameLast Name
ADDRESS
MOBILE NUMBER
Please enter a valid phone number.
Should be Empty: