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Noor-Ul-Iman School Admissions Inquiry Form
Household Information
Are you inquiring for Admissions for a sibling of a current NUI student?
*
Yes
No
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Relationship
*
Mother
Father
Legal Guardian
Cell Phone Number
*
Household Email
*
Street Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
How did you hear about us?
*
Email
Facebook
Instagram
Friend/Relative
Local Mosque
Search Engine
Other
Other
Student(s) Information
Student's First Name
*
Student's Last Name
*
Date of Birth (mm/dd/yy):
*
Gender
*
Female
Male
Current grade level
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
Grade entering in September 2023
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
11th - Not Accepting Inquires at this time
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
*
Female
Male
Current grade level
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
Grade entering in September 2023
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
11th - Not Accepting Inquires at this time
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
*
Female
Male
Current grade level
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
Grade entering in September 2023
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
11th - Not Accepting Inquires at this time
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
*
Female
Male
Current grade level
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
Grade entering in September 2023
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
11th - Not Accepting Inquires at this time
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
*
Female
Male
Current grade level
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
Grade entering in September 2023
*
Daycare
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th - Not Accepting Inquires at this time
9th - Not Accepting Inquires at this time
10th - Not Accepting Inquires at this time
11th - Not Accepting Inquires at this time
Please upload the 2021/22 school year report card
*
Please upload up-to-date 2022/23 school year report card
*
Name of Previous School
*