Campus you are interested in: Campus Tucson Elementary Tucson Middle-High Broadway Phoenix Davis-Monthan Ahwatukee
First Name:* Middle Name: Last Name:*
Date of Birth:* Choose Date Applying Grade:* Grade KG 1 2 3 4 5 6 7 8 9 10 11 12 Gender:* Gender Female Male
Primary Spoken Language:*
Previous School:* Previous School District:*
With whom does the Student reside? (Check all that apply) MotherFatherGrandmotherGrandfatherStep-MotherStep-FatherOther
Ethnicity (for the state of Arizona) BlackHispanicWhiteAmerican Indian/Alaskan NativePacific Islander / Asian
Has the student ever been or currently enrolled in any Special Education Program or 504 Plans?YesNo
Has the student ever been or currently enrolled in any Gifted or Bilingual Programs?YesNo
Has the student ever been or currently suspended or expelled from any school? YesNo
Has the student ever been or currently under the supervision of a Juvenile Court? YesNo
Does the student have any disabling conditions that require special accommodation?YesNo
Has the student ever skipped a grade? YesNo
Has the student ever repeated a grade?YesNo
Has the student been promoted to the grade level in which he/she is enrolling?YesNo
Parent's Full Name: Relationship: Legal Custody? Yes No
Email Address of Parent:
Address of Student/Parent: Street: City: State: ZIP:
Phone Numbers: Home Phone: Cell/Pager Phone:
Work Phone: Place of Employment:
How did you hear about Sonoran Acience Academy?
Door HangerRoad SignWeb SearchFriend
* Points to required fields Please make sure that all required fields are filled out before submit
Daisy Education Corporation | 14647 S 50th Street, Suite 175, Phoenix, AZ 85044 | Ph: (520) 665 3400 | Fax: (520) 665 3420