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Student Registration:

This is the Student Registration form of Qalam Collegiate Academy, please complete all the steps to for Successfully applying for admission.

We will get in touch with you once you finish your application submission.


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Students Legal First Name

Street Address


Students middle Initial

Appt. Number

Zip Code

Students Legal Last Name


Language Spoken at Home

Date of Birth

Race/Ethnic Identity

Student's Legal Status

Social Security Number

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Student's Current Grade

Grade Applying for

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The Information Provided by me is correct

Digital Signature:

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