Al-Ikhlas Training Academy
Enrollment Application
FAMILY INFORMATION
FATHER
First Name
Last Name
Middle Name
Social Security Number
Street
City
State
Zip
Work Phone
Email
Occupation
Position
Employer
Business Name
Fax #
Religion
Languages Spoken
MOTHER
First Name
Last Name
Middle Name
Social Security Number
Street
City
State
Zip
Work Phone
Occupation
Position
Employer
Business Name
Fax #
Religion
Languages Spoken
STATEMENT OF AFFIRMATION
I do hereby affirm that, to the best of my knowledge, all statements made on this application are true and complete. I under-stand that any falsification herein could mean immediate dismissal of my child. I also understand that this application does not guarantee admission of my child. Admission is solely the discretion of Al-Ikhlas Training Academy, which is based upon tran-scripts and other records, and the accurateness and completeness of this application. I also understand that proper fees must also be paid before my child can be officially enrolled.
Signature
I have read and understood the "Statement of Affirmation". Al-Ikhlas has a non-discriminatory policy, therefore, no student can be denied admis-sion because of race, religion, creed, or national origin. However, we do reserve the right to deny admission because of a record of unacceptable behavior and/or unac-ceptable academic performance.
Special Note: This application must be accompanied by an application fee of $100.00 for Preschool, Kindergarten & Elementary School, $125.00 for Middle School and $150.00 for High School Application, which is non-refundable and is not applicable to tuition.