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
In which school year will the student(s) be enrolling?*
Enrolling for Grade?
How did you hear about Tucson International Academy?
- Newspaper
- TV
- Yellow Pages
- Radio
- Referral
- Web search
Were you referred to Tucson International Academy by someone? If yes, by whom?
Which campus location are you interested in?*
- TIA Broadway 1230 E Broadway (near Univ of Arizona)
- TIA Midvale 1625 W Valencia Rd., #109 (next to little Caesar's Pizza)
- 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
Student's Gender*
- Male
- Female
Special Interests:
Address*
Street Address City State ZIP Code
Home Phone
Cell Phone
Work Phone
Parent's Email Address*
Enter Email Confirm Email
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
Your response to the statement will be used to determine if your student will be assessed for English Language proficiency.
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.
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
Was the student enrolled in any of the following programs (check all that apply)
- SPED (IEP)
- Speech
- EL (English Learners)
- 504 Plan
- Other
Other
Is the student currently under supervision of the Juvenile Court for criminal activity?*
- Yes
- No
If yes, explain:
Was the student expelled or long-term suspended (more than 10 days) from previous schools attended?*
- Yes
- No
If yes, explain:
Family Information
Whom does the Student live with?
Select all that apply.
- Father
- Mother
- Step Parent
- Legal Guardian
- Other
Father's Name
First Last
Father's Phone
Father's Occupation
Father's Employer
Father's Work Phone
Mother's Name
First Last
Mother's Phone
Mother's Occupation
Mother's Employer
Mother's Work Phone
Step Parent's Name
First Last
Step Parent's Phone
Step Parent's Occupation
Step Parents Employer
Step Parent's Work Phone
Legal Guardian's Name
First Last
Legal Guardian's Phone
Legal Guardian's Occupation
Legal Guardian's Employer
Legal Guardian's Work 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 20.
Does the child live in a Foster Home?*
- Yes
- No
Does the child live in a Group Home?*
- Yes
- No
Siblings
How many siblings does the student have?
Please enter a value between 1 and 6.
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
Sibling 5's Name
First Last
Sibling 5's Date of Birth
MM
DD
YYYY
Sibling 6's Name
First Last
Sibling 6's Date of Birth
MM
DD
YYYY
Signature Agreement*
"I certify that (1) I am the parent/legal guardian of this student, (2) all information given on this enrollment form is correct to the best of my knowledge, and (3) Tucson International Academy has my permission to obtain school records from the schools listed on this form. Tucson International Academy reserves the right to honor another schools suspension. Students that are suspended may not be enrolled at TIA schools and students that have been excluded or expelled will not be enrolled at TIA schools"
- I Agree
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

Your response to the statement will be used to determine if your student will be assessed for English Language proficiency.

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:_