2026-2027 Student Application

2026-2027 Student Application

Please complete this form to register your child for the upcoming academic year and prepare necessary documents.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Applicant Entering Grade*
Current School
Current Grade
Has applicant repeated or skipped a grade? Please indicate below.
YesNo
If Yes, please explain and submit copy of report
Attach a File (Evaluation/Support Services Report)

Cancelof
Students Entering Grades 2-6 MUST submit transcripts

Cancelof
Students Entering Grades 2-6 MUST submit two letters of recommendation

Cancelof
Please tell us about your child. Describe areas of academic and personal strength, as well as challenges your child might face.*
What qualities or characteristics would you like to see Iqra Academy develop in your child?*
What responsibilities does your child have in your home?*
What extracurricular activities does your child participate in?*
How does your child spend free time?*
What influenced your decision to apply to Mizan Preparatory Academy?*
Is there any additional physical or psychological information that the School should know? Please explain.*
Friend/Family MemberSocial Media (Facebook/Instagram)WebsiteOpen HouseOther
MarriedDivorcedSeparatedWidowed
Primary Parent/Guardian Name (responsible for tuition payments)*

First NameLast Name
Secondary Parent/Guardian Name (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Parent Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent Number
Please enter a valid phone number.Format: (000) 000-0000.
Both ParentsMom primarilyDad primarilyOther
If other, please explain
Primary Parent Email*
example@example.com
Secondary Parent Email
example@example.com
Primary Parent's Occupation
Primary Parent's Employer (Company Name)
Secondary Parent's Occupation
Secondary Parent's Employer (Company Name)
Please list siblings with age, grade, and school they attend below.
Should be Empty: