SFIS Elementary School Application 2023-2024 Application for Admission 2022-23 Step 1 of 4 25% Please visit our new application site at https://sfislamicschool.curacubby.com/fst/elementaryapplicationGrade for 2022-23*TKK1st2nd3rd4th5th6th7th8thGrade for 2023-23*TKK1st2nd3rd4th5th6th7th8thChild's Name First Last Birth Date* A child must be 5 years of age before September 1, 2022, in order to be eligible for Kindergarten. Gender*FemaleMale Parents / Guardians InformationFather's (Guardian's)* First Last Mother's (Guardian's)* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home PhoneFather's (Guardian's) Email* Mother's (Guardian's) Email* OccupationEmployer's Name First Last Work Phone*Father's Mobile Phone (Guardian's)*Mother's Mobile Phone (Guardian's)*Custody InformationWho has legal custody? Both Parents Father only Mother only Others Others*Students lives with Both Parents Father only Mother only Others Others* Health InformationDoes your child require any special needs that we should know about? Yes No This can include learning styles, individual academic needs (IEP or behavioral support plan), psychological or behavior difficulties, or physical limitations.If yes, please explain below(more details should be outlined in the Medical Release Form)Does your have any food allergies that we should know about? Yes No If yes, please explain below(more details should be outlined in the Medical Release Form)Child’s Primary Physician’s Name First Last PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Insurance Provider Emergency InformationMedical Emergency Policy: Parents and emergency contacts will be called for injuries/illness beyond our ability to handle. “911” will be called to assist in the event of serious illness or injury. This emergency policy will be used for all students and your child’s attendance at this school represents your acceptance of this policy.Emergency Contact #1 Name & Phone Number:*Relationship to StudentEmergency Contact #2 Name & Phone Number:*Relationship to StudentAuthorized PickupList names of persons authorized to sign your child out of school. Identification will be required.Name First Last Name First Last Name First Last Name First Last Report Card Upload* Drop files here or Please upload your child's most recent report card. If you are applying for TK/KG, please upload birth certificate. Release of Information AuthorizationListing of Home Address, Home phone Number and Email Address in the School Directory Yes, I want our Address, Phone Number and Email to be listed in the School Directory No, I do not want our Address, Phone Number and Email to be listed in the School Directory Permission to take your Child’s Picture Yes, I have no objection in having my child’s picture taken or used in SFIS website and publications. No, I do not want my child’s picture taken. Financial AidShould you require financial assistance please fill out the Financial Aid Form. Financial Aid information is handled in strict confidentiality. Please note that SFIS relies on students’ tuition to operate.How did you hear about us?*Family or FriendFacebook/InstagramMarketing FlyerGoogle SearchOtherApplication Fee (Required) Price: $100.00 To expedite your child's student assessment appointment, fee must be paid prior to submitting application. 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