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.

#4 School Records Request

To: School Administration:

The student listed below is applying to Qalam Collegiate Academy for registration in the 2020-2021 school year. Please provide the following documentation to Qalam Collegiate Academy. We appreciate your assistance in this matter.

Standardized Test Scores
Report Cards
Any special education information
Health & immunization records
Birth certificate
Social Security card copy/number
Special programs information
ARD, IEP, BIP information
ESL/LEP information

Applicant's First Name

Applicant's middle Initial

Applicant's Last Name

Date of Birth

Applicant's Current Grade

The Information Provided by me is correct

Digital Signature:

Step 4 of 6

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