Initial Application – Cooper International Academy

Acceptance Application

This is the first step toward enrolling at Cooper International Academy. Once submitted and reviewed, you will receive a full admissions packet with additional enrollment steps.
Applicants Status
Applying for School Year

Student Name

First NameLast Name
Date of Birth

MonthDayYear
Grade Level
Nationality (example: Serbia, USA, Russia, Mexico, China…)
Height (ft-in)
Weight (lbs)
Contact Phone Number US

Country CodeArea CodePhone Number
Contact Phone Number Whats App
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email Address
example@example.com
Home Address (Student)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Parent or Guardian Information

Please provide the details of a parent or legal guardian. This person will serve as the primary contact for important communication regarding the student.
Email Address
example@example.com
Parent/Guardian 1 Name

First NameLast Name
Parent/Guardian 1 Phone Number

Country CodeArea CodePhone Number
Parent/Guardian 1 Email Address
example@example.com
Parent/Guardian 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Phone Number

Country CodeArea CodePhone Number
Parent/Guardian 2 Email Address
example@example.com
Parent/Guardian 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Video Links

Please add links to your highlight video and full game video
Highlight Video Link
“Please provide YouTube video links only; other video platforms or file uploads are not accepted.”
Full Game Video Link
“Please provide YouTube video links only; other video platforms or file uploads are not accepted.”

Program & Application Fees

Please review the tuition breakdown and confirm your understanding of costs and required application fees.
I have reviewed the tuition breakdown and I understand the costs and required application fees.
Application Fee
Application Fee Category
How did you hear about us? Referral (Please add name contact or source)

Final Steps & Submission

You’re almost done! Please review your information before submitting. Once you submit, don’t forget to pay your application fee using the link provided.
Admissions Application Recipient Email
Enter the email address that should receive the enrollment application.
Check List
Approver Email
Enter the email address that should receive the approval copy.
Signature — Required “By signing, you agree to the terms and conditions of Cooper International Academy.”
Organization Name
Should be Empty:

Acceptance Application