Example Academy 2025-2026 Student Application

Example Academy 2025-2026 Student Application

Welcome to the Example Academy application for the 2025-2026 school year! We are excited about your interest in joining our elite academic and athletic program.
Please complete this application carefully. If you have any questions, contact us at info@exampleacademy.org.

Instructions for filling in the Application Form

All Fields are compulsory. If it is not applicable, please fill as "Not Applicable"

Step 1: Fill in the details
- Enter all relevant details carefully. Data Once Submitted can not be changed. So Please take a look before final Submission.
- All copies of documents should be self-attested.
- The original documents should be brought to the school for verification and return
- The original transfer certificate from the current school (where applicable) will be retained by the School.
- Academic transcripts (upload required)
- Athletic highlight video (optional but recommended)
Step 2: Confirmation of Submission
- Press the Submit Button
- After Successfull Submission of Application Form, you will get a confirmation message on screen
- Attach all the relavent documents with Printed Application Form, Sign the Form and submit the documents in the Admissions Office when you are called by the School for a Student Assessment and Interview of Parents.
After submitting your application, our admissions team will review it and contact you regarding the next steps.

Student Information
Current Grade Level (2024-2025)*
Applying for Grade (2025-2026)*
Student's Name*

First NameMiddle NameLast Name
Date of Birth *

DayMonthYear
Student Photograph
Gender*
Nationality*
Current Address *

Street Address

Street Address Line 2

CityState / Province

Zip CodeCountry
Phone Number
Please enter a valid phone number.
Email
example@example.com

Present School Information
High Schools Attended*
Date Attended From

DayMonthYear
Date
Date Attended To

DayMonthYear
Date
Date Attended From

DayMonthYear
Date
Date Attended To

DayMonthYear
Date
Date Attended From

DayMonthYear
Date
Date Attended To

DayMonthYear
Date
Current GPA*
Academic Transcripts Upload

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List of Honors, AP, or Dual Credit Courses Taken (if applicable)

Student Information (Medical History)
Blood Group
Food Allergies if any
Family Doctor Name
Medicine Allergies, if any
Family Doctor's Mobile No.
Current Ailments or Diseases being treated for
Communicable Diseases the child had in the past

Chicken PoxHepatitisMumpsWhooping CoughOther
If the child has been hospitalized, dates with reasons
Can the student take part in physical activities, sports, atheletics?
Medical Forms

eg. physicals
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Student Information (Other)
Has the student been double promoted or detained in a standard? If yes, provide details
Has the student been expelled from any School? If yes, provide details

Parent Information
Marital Status*
School Communication should go to*
Father's Name*
Mother's Name*
Father's Occupation*
Mother's Occupation*
Father's Education Level*
Mother's Education Level*
Father's Office Number
Mother's Office Number
Father's Mobile Number*
Mother's Mobile Number*
Father's Email ID*
Mother's Email ID*
Father's Address*

Street Address

Street Address Line 2

CityState / Province

Zip Code
Mother's Address (If different from Father's Address)

Street Address

Street Address Line 2

CityState / Province

Zip Code

Guardian and Emergency Contact Information
Is there a guardian?*
If yes, name of guardian
Relationship with Student
Telephone number
Email ID
Address

Street Address

Street Address Line 2

CityState / Province

Zip Code
Emergency Contact Name
Emergency Contact Tel No.
Emergency Contact Email ID
Relationship with Student
Address

Street Address

Street Address Line 2

CityState / Province

Zip Code

Athletic Information
Position(s) Played

Point Guard (PG)Shooting Guard (SG)Small Forward (SF)Power Forward (PF)Center (C)
Club/AAU Team Name (if applicable)
Athletic Achievements (Awards, Rankings, Championships, etc.)
Athletic Highlight Video Upload (Optional but Recommended)
Athletic Highlight Video Upload (Optional but Recommended)

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Additional Documents to be Uploaded

Please upload any additional documentation that you feel is necessary to support your application. These documents may include letters of recommendation, certificates, or any other relevant information that can enhance your submission.
Address Proof

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Present School's Leaving Certificate (Transfer Certificate)

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Student's Health Record

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Miscellaneous

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Additional Information
How Did You Hear About Example Academy? (Social Media, Coach Referral, Event, Family, Friend, Other)
Any Additional Information You’d Like to Share? (Optional)

Acceptance of Terms & Conditions and Declaration of Parents/Guardian
Declaration by Parents/Guardian

We are seeking admission for our daughter (hereinafter referred to as Child) in Example Academy (hereinafter referred to as School) after having read, understood, and agreed to the terms and conditions below. We accept them and confirm that our acceptance has not been obtained through any form of pressure or coercion by the Management of the School.
1. We declare that the information furnished by us in this application is true to the best of our knowledge and belief.
2. We fully understand that admission to the School is based on academic, athletic, and character evaluations, as well as the availability of a seat at the time of application review and when we are called for the offer of a seat.
3. We understand that the admission being granted to our Child is provisional and may be canceled should any statement made in this form be false or if the relevant documents are not provided within 30 days of submitting this application, unless a different timeline has been agreed upon in writing with the School.
4. We fully understand and accept that tuition and other fees must be paid before our Child joins the School and for each subsequent academic year before the commencement of the school year or by the intimated due date. We also acknowledge that fees once paid are non-refundable under any circumstances.
5. In the event of a fee payment check being dishonored, the Management of the School reserves the right to dismiss/de-enroll our Child at its discretion and impose any penalties it deems appropriate.
6. The School reserves the right to revise, amend, or increase the fee structure as necessary, in accordance with government policies and/or economic conditions (including but not limited to inflation).
7. We understand and accept that the School has the right to use our Child’s photograph for publicity materials, the School website, and official social media pages unless we expressly object in writing before the commencement of the academic year.
8. We understand and accept that our Child may be expelled or removed from the School for non-payment of dues, violation of school rules, or engaging in academic dishonesty during examinations.
9. We agree that our Child will observe and adhere to the rules related to the Library, Laboratories, Identity Card, and the Code of Conduct.
10. We acknowledge that our Child may be required to create study materials and content as part of the learning process, and the School has the right to retain and use such materials.
11. In the event of withdrawal of our Child from the School, we agree that fees for the subsequent academic year must still be paid.
12. We fully understand and agree that only the required documents will be considered for priority in the admissions process, and no other submissions will be entertained.
13. By pressing the Submit Button, we confirm the above declaration and accept the terms and conditions.
14. I agree to abide by Example Academy’s student-athlete expectations if admitted.
Parent/Guardian Signature*

Powered by Jotform SignClear
Date*

DayMonthYear
Date
Please ensure the following after pressing the submit button:

Application Fee: $25
Your application will not be processed until the fee has been received. The $25 application fee can be paid via:

Zelle: info@exampleacademy.org
PayPal: @exampleacademy
Cash App: $AcademyExample1

After submitting your application and payment, our admissions team will review your submission and contact you regarding the next steps.

If you have any questions, contact us at info@exampleacademy.org.
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Example Academy 2025-2026 Student Application

Student Information

Present School Information

Student Information (Medical History)

Student Information (Other)

Parent Information

Guardian and Emergency Contact Information

Athletic Information

Additional Documents to be Uploaded

Additional Information

Acceptance of Terms & Conditions and Declaration of Parents/Guardian

Please ensure the following after pressing the submit button: