Applying for Academic Year *

2016-2017 (Second Semester) 2017-2018

Family Name*

First Name*

Date of Birth (dd/mm/yy)*

Gender*

Male Female

Place of Birth*

Citizenship*

Passport Number

Religion*

Contact information

Father

Name*

Citizenship*

Occupation*

Company's Name

PO Box

Business Phone

City Code

(02/04)

Number

(4444333)

Home Phone

City Code

(02/04)

Number

(4444333)

Mobile Number

Country Code*

(Ex.971)

Mobile Code*

(Ex.50)

Mobile Number*

(Ex.1234567)

E-Mail*

Mother

Name*

Citizenship*

Occupation

Company's Name

PO Box

Business Phone

City Code

(02/04)

Number

(4444333)

Home Phone

City Code

(02/04)

Number

(4444333)

Mobile Phone

Country Code*

(Ex.971)

Mobile Code*

(Ex.50)

Mobile Number*

(Ex. 1234567)

Email*

Home Address*

Siblings applying to AISA

Does the applicant have any brothers or sisters applying to AISA?*

None yes no

How many siblings?*

Sibling 1 Name*

Sibling 1 School*

Sibling 1 Grade*

Sibling 2 Name*

Sibling 2 School*

Sibling 2 Grade*

Sibling 3 Name*

Sibling 3 School*

Sibling 3 Grade*

Academic History

Current School

School Name*

Location*

Number of Years Attended*

Previous School

School Name

Location

Number of Years Attended

Applying for Grade*

Applying for IB

Yes No

Current Grade

(If joining in mid year)

Last Grade Completed

Date (mm/dd/yyyy)

Have you ever repeated a grade?

yes no

If yes which grade?

Learning Resources & Health Information

Has your child ever been referred for and/or received pyschological, educational or cognitive testing?*

yes, please provide reports no

Share details (if applicable)

Has your child been diagnosed with a specific learning disability?*

yes, please provide reports no

Share details (if applicable)

Has your chid received learning support*(Pullout, Pushins, Extra support with a specialist)*

yes, please provide details no

Share Details (if applicable)

Has your child received ELL support (English Language Support)*

yes, please provide reports no

Share Details (if applicable)

Primary Language spoken at home*

Other Language (s) spoken at home*

Does your child have any serious allergies*

yes, please specify no

Allergies (if applicable)

Does your child have any serious medical conditions that we should be aware of?*

yes no

Details (if applicable)

Emergency Contact

Relationship*

Primary Number*

Secondary Number

Attach Current Year's Report Card*

Max file size: 10 MB

Attach Transcript (HS) or Last Year's Report Card *

Max file size: 10 MB

Student Valid Passport*

Please attach a copy of student valid Passport.

Max file size: 10 MB

For the initial application, we require the following documents:

A completed AISA application form
A copy of the student’s current year report and the previous two years’ final reports
AISA recommendation form
Standardized test scores (if available)
Specialist reports supporting the Learning Resources & Health Information section on the application
A copy of the student’s valid passport
A copy of the student’s birth certificate translated into English or Arabic

Please provide the complete application packet with the required documents. Incomplete applications will not be processed.

I certify that the above information is accurate and correct to the best of my knowledge. I hereby apply for admission of my son/daughter to the American International School in Abu Dhabi and agree that my child will abide by all rules and regulations of the school.

I will provide AISA with the required documents and I understand that if these documents are not provided by the first day of school, I will be responsible for any difficulties or delays in obtaining official records from AISA.

Required*

I agree