Application for Admission - JOY ACADEMY OF SOUTHERN NEVADA

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APPLICATION FOR ADMISSION:
JOY ACADEMY OF SOUTHERN NEVADA

JOY Academy of Southern Nevada admits students of any race, color, nationality and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin, in administration of its educational policies, admission policies, and other school-administered program.

Applicant's Full Name (Last, First, Middle) This is required

Preferred Name This is required

Gender

Male

Female

This is required

Birthdate This is required rt.advancedFormInput.date.formatMessage

Age This is required

Current Grade in School This is required

What School Year Are You Applying For? This is required

Previous School Attended This is required

Home Address This is required

Mailing Address - If Different From Home Address This is required

Student Living With

Both Parents

Father Only

Mother Only

Other

This is required

Father or Male Guardian's Name This is required

Father's Cell # or Home # if no Cell This is required

Father's Employer This is required

Father's Work Phone # This is required

Father's Email Address Enter an email Use an address with (@) and (.)

Mother or Female Guardian's Name This is required

Mother's Cell # or Home # if no Cell This is required

Mother's Employer This is required

Mother's Work Phone # This is required

Mother's Email Address Enter an email Use an address with (@) and (.)

List Other Children in the Family This is required

Emergency Contact 1: Name & Relationship to Student This is required

Emergency Contact 1: Phone # This is required

Emergency Contact 2: Name & Relationship to Student This is required

Emergency Contact 2: Phone # This is required

Is there anyone who CANNOT pick up your child from school? Please list name and explain. This is required

Briefly include your child’s medical information. Please include any physical or emotional health information that would help teachers and administrators promote optimal student development, and medical attention when needed. * Known Allergies, Medical Condition(s), Medication(s) or N/A This is required

What are your greatest desires for your child, and how do you see JOY Academy partnering with you to accomplish these goals? This is required

Please describe your child’s interests and activities in the areas of academics, athletics, music, art, hobbies, talents or other special interests. What motivates your child? In which academic subjects does he/she excel, love, or show the most interest? This is required

Information gathered here will be held in confidence by JOY Academy and only disclosed to those necessary to the admissions process.

I have read & filled out the application

This is required

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