Language
English (US)
International School of Africa, Djibouti
School Registration 2022-2023
Registration and Enrollment for School Year 2022-2023
Documents required for Registration:
Original Document of Birth (Birth certificate, Passport, Parents ID)
Vaccination or Immunization
Last Academic Year Report Cards
2 photos of student
Complete Admission Forms provided by school
Student Information
Last Name
First Name
Birth Date
-
Month
-
Day
Year
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Gender
Please Select
Male
Female
Nationality
Please Select
American
Hispanic/Latino
Asian
European
Djiboutian
Somalian
Middle Eastern
Prefer not to answer
Other
Email Address
Entry Year
Grade
Semester
Have you previously applied to or attended this school?
Yes
No
If yes, what year?
Current Residence Information
Street Address
Street Address Line 2
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Home Phone Number
Cell Phone Number
Primary Residence Information
(if different from above)
Street Address
Street Address Line 2
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Parent/Guardian Residence Information
(if different from above)
Street Address
Street Address Line 2
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
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International School of Africa Registration for 2022-2023
Emergency Contact 1
Last Name
First Name
Primary Phone Number
Secondary Phone Number
Emergency Contact 2
Last Name
First Name
Primary Phone Number
Secondary Phone Number
Physician and Medical Information
Last Name
First Name
Primary Phone Number
Secondary Phone Number
Preferred Hospital
Insurance/Health Coverage (Company)
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
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International School of Africa Registration for 2022-2023
Enrollment History
Previous School 1
School Name
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Date Started
-
Month
-
Day
Year
Date Picker Icon
Date Ended
-
Month
-
Day
Year
Date Picker Icon
Previous School 2
School Name
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Date Started
-
Month
-
Day
Year
Date Picker Icon
Date Ended
-
Month
-
Day
Year
Date Picker Icon
Previous School 3
School Name
City
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Date Started
-
Month
-
Day
Year
Date Picker Icon
Date Ended
-
Month
-
Day
Year
Date Picker Icon
Notes
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Such as student(s) home language, etc. Thank you.
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