2027-2028 Student Application

2027-2028 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.
Has the applicant had an educational or psychological evaluation, or received or been evaluated for any support services?
If Yes, please explain and submit copy of report
Attach a File (Evaluation/Support Services Report)

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Students Entering Grades 2-6 MUST submit transcripts

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

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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.
How did you learn about Mizan Preparatory Academy?

Other
Applicant Parents are
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.
Applicant Lives with

Other
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: