Noor-Ul-Iman School Admissions Inquiry Form

Household Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Relationship *

Cell Phone Number *

Household Email *

City *

State *

How did you hear about us? *

Student(s) Information

Student's First Name *

Student's Last Name *

Date of Birth (mm/dd/yy): *

Gender *

Current grade level *

Grade entering in September 2023 *

Please upload the 2021/22 school year report card *

Please upload up-to-date 2022/23 school year report card *

Name of Previous School *

Add another student? *

Yes

No

2nd Student

Student's First Name *

Student's Last Name *

Date of Birth (mm/dd/yy): *

Gender *

Current grade level *

Grade entering in September 2023 *

Please upload the 2021/22 school year report card *

Please upload up-to-date 2022/23 school year report card *

Name of Previous School *

Add another student? *

Yes

No

3rd Student

Student's First Name *

Student's Last Name *

Date of Birth (mm/dd/yy): *

Gender *

Current grade level *

Grade entering in September 2023 *

Please upload the 2021/22 school year report card *

Please upload up-to-date 2022/23 school year report card *

Name of Previous School *

Add another student? *

Yes

No

4th Student

Student's First Name *

Student's Last Name *

Date of Birth (mm/dd/yy): *

Gender *

Current grade level *

Grade entering in September 2023 *

Please upload the 2021/22 school year report card *

Please upload up-to-date 2022/23 school year report card *

Name of Previous School *

Add another student? *

Yes

No

5th Student

Student's First Name *

Student's Last Name *

Date of Birth (mm/dd/yy): *

Gender *

Current grade level *

Grade entering in September 2023 *

Please upload the 2021/22 school year report card *

Please upload up-to-date 2022/23 school year report card *

Name of Previous School *