2018-2019 Kindergarten - 8th Grade Admission Application

Assalamu Alaikum. Welcome to Silicon Valley Academy! All of the following documents are required before admission can be granted to your child. Please let us know if you have any question or need assistance with this process.

Re- Enrollment Checklist:
Students entering Kindergarten must turn five years of age on or before September 1, 2018
 Online application.
 Tuition agreement form.
 Parents' agreement form.
 Updated immunization card with any new shots received.
 Copy of Report of Health Examination for School Entry form for kindergarten & first grade students only.
 Volunteer agreement form.
 Two volunteer checks $200.00 each/family post-dated for January 15, 2019 and June 14, 2019. These checks will only be cashed if 15 volunteer hours are not completed by January 15, 2019 and 15 hours are not completed by June 14, 2019.
 Registration fee of $150.00/student if received by February 16, 2018; thereafter, it will be $250.00/student due at the time of registration (non-refundable).
 Maintenance fee of $200.00 /family due at the time of registration (non-refundable).
 Materials fee of $400/student post-dated for May 1, 2018 (non-refundable).
 Tuition payment post-dated July 1, 2018 or 10 post-dated checks starting July 1, 2018 – April 1, 2019.


New Student Enrollment Checklist:
 Online application.
 Tuition agreement form.
 Parents' agreement form.
 Birth certificate.
 Copy of updated immunization record.
 Copy of Report of Health Examination for School Entry form for kindergarten & first grade students only.
 Request for school records form.
 Copy of the most recent report cards from previous school(s).
 Volunteer agreement.
 Two volunteer checks $200.00 each/family post-dated for January 15, 2019 and June 14, 2019. These checks will only be cashed if 15 volunteer hours are not completed by January 15, 2019 and 15 hours are not completed by June 14, 2019.
 Registration fee of $250.00/student due at the time of registration (non-refundable).
 Maintenance fee of $200.00 /family due at the time of registration (non-refundable).
 Materials fee of $400/student post-dated for May 1, 2018 (nonrefundable).
 Tuition payment post-dated July 1, 2018 or 10 post-dated checks starting July 1, 2018– April 1, 2019.

SVA does not discriminate on the basis of color, ethnic background, national origin, color, race, religion or gender

Enrollment Form *
Grade *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Initial
Your answer
Birth Date *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
Student's Place of Birth *
City or County
Your answer
State or Country *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone Number *
Your answer
Student Lives With *
Last School Attended
Your answer
Last School's Phone Number
Your answer
Last Grade Completed
Your answer
Are Siblings Currently Attending SVA *
Sibling 1 Name and Grade
Your answer
Sibling 2 Name and Grade
Your answer
Sibling 3 Name and Grade
Your answer
Father's Last Name *
Your answer
Father's First Name *
Your answer
Father's Middle Initial
Your answer
Address
If different from student
Your answer
State
Your answer
Zip
Your answer
Employer's Name *
Your answer
Occupation *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Mother's Last Name *
Your answer
Mother's First Name *
Your answer
Mother's Middle Initial
Your answer
Address
If different from student
Your answer
State
Your answer
Zip
Your answer
Employer's Name
Your answer
Occupation *
Your answer
Work Phone
Your answer
Cell Phone *
Your answer
Email *
Your answer
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