Triumph Association School of Success Academy

K-12 School Application Form
Date

MonthDayYear
Date
Incoming Grade Level
Name of Student

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
MaleFemale
Ethnicity
YesNo
Please Specify the Languages Spoken
Primary Language Spoken at Home
Do you have an IEP or 504 plan?
New StudentTransferreeContinuing
School Transferring from?
School Phone Number
Upload a digital copy/photo of the transcript or report card

Note: you might eventually be required to submit a physical hardcopy of this document
Cancelof

Acknowledgement, Authorization, and Consent
By signing this form, I hereby authorize the school to use the information herein provided for the processing of my child's application. I understand that the information shared herein shall be for the purpose of the admission of my child.

I further declare that the information I have provided in this form is true and correct to the best of my knowledge.
Signature of Parent/Guardian

Powered by Jotform SignClear
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

K-12 School Application Form