Online Enrollment Form

English or Spanish Online Enrollment Form

Inscripción en línea en Español

Online Enrollment

Please make sure that the Student Information and Address is completely filled out.

Student Information
New or Returning Student?*
- New Student
- Returning Student
In which school year will the student(s) be enrolling?*
Enrolling for Grade?
Which campus location are you interested in?*
- TIA Broadway 1230 E Broadway (near Univ of Arizona)
- TIA Midvale 1645 W Valencia Rd., #101 (East of Pawn Shop)
- TIA West 2700 W Broadway Blvd (near Pima Community College, West Campus)
- TIA East 450 North Pantano Rd.
- Undecided
Students First and Last Name*
First Last
Students Middle Name
Student's Date of Birth*
MM
DD
YYYY
Address*
Street Address City State ZIP Code
Cell Phone*
Home Phone
Work Phone
Student's Gender*
- Male
- Female
Special Interests:
Parent's Email Address - By sharing your email address, you give us permission to send you email's regarding TIA and school related events.
Enter Email Confirm Email
How did you hear about Tucson International Academy?*
- Newspaper
- TV
- Radio
- Referral (please share name below)
- Web search
Were you referred to TIA by someone? If yes, by whom?
Ethnic Choice*
Please select the one you most identify with.
- Hispanic (Mexican, Latin American, or other Spanish origin)
- White (Not Hispanic origin)
- Black (Not Hispanic origin)
- Asian or Pacific Islander
- Native American or Alaskan Native
Tribe
Last School Attended
Last School Name
Last School Grade
Last School Address
Street Address City State / Province / Region ZIP / Postal Code Country
Last School Phone
Family Information
Father's Name
First Last
Father's Occupation
Father's Employer
Father's Phone
Mother's Name
First Last
Mother's Occupation
Mother's Employer
Mother's Phone
Step Parent's Name
First Last
Step Parent's Occupation
Step Parents Employer
Step Parent's Phone
Legal Guardian's Name
First Last
Legal Guardian's Occupation
Legal Guardian's Employer
Legal Guardian's Phone
Is there a non-custodial parent?
- Yes
- No
Student is living with:
Number of children in family?
Please enter a value between 1 and 4.
Does the child live in a Foster Home?*
- Yes
- No
Does the child live in a Group Home?*
- Yes
- No
Siblings
Sibling 1's Name
First Last
Sibling 1's Date of Birth
MM
DD
YYYY
Sibling 2's Name
First Last
Sibling 2's Date of Birth
MM
DD
YYYY
Sibling 3's Name
First Last
Sibling 3's Date of Birth
MM
DD
YYYY
Sibling 4's Name
First Last
Sibling 4's Date of Birth
MM
DD
YYYY
What is the Primary Language used in the home regardless of the language spoken by the student?*
This question is in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c). Response to this statement will be used to determine whether the student will be assessed for English Language Proficiency.
What is the language most often spoken by the student?*
This question is in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c). Response to this statement will be used to determine whether the student will be assessed for English Language Proficiency.
What is the language that the student first acquired?*
This question is in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c). Response to this statement will be used to determine whether the student will be assessed for English Language Proficiency.
Was the student expelled from the previous school attended?*
- Yes
- No
If yes, explain:
I have received a copy of the Parent and Student Handbook
- Yes
- No
My signature below certifies all the following: 1.) I am the parent/legal guardian of this student. 2.) All information given above is correct to the best of my knowledge. 3.) Tucson International Academy (TIA) has my permission to obtain school records from the schools attended. TIA reserves the right to honor another school's expulsion. Students that have been excluded, or expelled will not be enrolled at TIA schools (A.R.S.15-841.C).
Parent or Legal Guardian Signature (Type Name)*
Today's Date*
Office Use Only Returning Student: Y or N Continuing Student (from previous SY): Y or N
Entered in SMS:_____ First Day of School Initials:_____
www.TucsonInternationalAcademy.com (520) 792-3255

Main Office

2700 W Broadway Boulevard • Tucson, AZ 85745 • Phone: (520) 792-3255 • Fax: (520) 792-3245

Tucson International Academy INC posts all board meeting notices in the lobby of the corporate office at this address.

Campuses

East Tucson
West Tucson
Midvale
Central Tucson

Festivals

Cinco De Mayo
Chinese New Year
Cultural Day
Winterfest

Field Trips

Catalina Island Trip
Annual International Trip
Grand Canyon Trip

Online Enrollment

Student Information

Last School Attended

Family Information

Siblings

Office Use Only Returning Student: Y or N Continuing Student (from previous SY): Y or N

Entered in SMS:_____ ￼ First Day of School ￼ Initials:_____

Main Office

Campuses

Festivals

Field Trips

Connect with TIA!

Entered in SMS:_ First Day of School Initials:_