Student Enrollment Form- Uwezo Tanzania

Student Enrollment Form

Forward International Academy
STUDENT INFORMATION
Student Name:

First NameLast Name
Student Email Address:
example@example.com
Current Grade:
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender:

Other
Ethnicity:
Race:
Languages spoken at home:
Does the student speak English?
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ENROLLMENT INFORMATION
2026–2027 ENROLLMENT PERIODS

Cohort 1 — Start Date: September 21, 2026

Cohort 2 — Start Date: December 7, 2026

Cohort 3 — Start Date: March 22, 2027

Cohort 4 — Start Date: June 28, 2027

Students should use these dates as a reference when selecting their Desired Start Date.
Desired Start Date
Additional Services Requested:
School/Organzation Affiliation:
FAMILY CONTACT INFORMATION:
Parent/Guardian 1 Name:

First NameLast Name
Relationship to Student:
Parent/Guardian 1 Phone Number:

Area CodePhone Number
Parent/Guardian 1 Email:
example@example.com
Preferred Way to be Contacted:
Parent/Guardian 2 Name:

First NameLast Name
Relationship to Student:
Parent/Guardian 2 Phone Number:

Area CodePhone Number
Parent/Guardian 2 Email:
example@example.com
Preferred Way to be Contacted:
Submit High School Transcripts (if applicable)

If you have previously earned high school credits at your local school, please submit them here. If your transcripts are not in English, they will need to be translated before submission.
Cancelof
Should be Empty:

Student Enrollment Form