Online Admission Form

Instructions

Research the school:

Before starting the online admission process, research the school thoroughly. Read up on the school's programs, admission requirements, fees, and other relevant information.

Fill out the application form:

The application must be completed in one sitting, as it does not support saving.
All information entered should be confirmed for accuracy by a parent/guardian before submitting it.
This is a legal document and must be completed by an adult.
Please use the student’s legal name and information. Complete the online application form, providing all required information such as personal details, educational background, and extracurricular activities.

Pay the application fee:

Many schools require an application fee to be paid before the application is considered complete. Pay the fee online using a secure payment gateway.

Submit the application:

After completing the application form, kindly submit it along with the required documents listed in the Document Checklist. You can send the documents via mail, fax, email, or by visiting us in person. We appreciate your cooperation!

Documents Checklist:

Copy of Birth Certificate and copy of Social Security Card (not just the number)
Complete Immunization (shot) Records (NOTE: Varicella / Chicken Pox vaccine required)
Copy of Individualized Plan (IEP), if applicable
Proof of residency (copy of current utility bill in the name of parent/guardian, for example)
Copy of parent or guardian's valid OH Driver's License or State ID
Custody / Proof of Guardianship Records, if applicable

Please return copies of the above items (mail, fax, email, or in-person) to:
Tooba Academy
4550 Heaton Rd,
Columbus, Oh 43229
[email protected]

Note:

This school does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and services.
To enroll in kindergarten in the Columbus School District, students must meet the age requirement of being five years old on or before September 30th of the current academic year.

Monitor your application status:

Check your online account regularly to monitor the status of your application. You may receive notifications or requests for additional information from the school.

Follow up:

If you don't hear back from the school within the expected timeframe, reach out to their admission office to inquire about the status of your application.

Mandatory fields :

Fields marked in red(*) are mandatory.

Electronic Signature Agreement

By clicking the submit button, I affirm that the information provided is true, correct, and complete, to the best of my knowledge and belief. I understand that submitting false information may result in the rejection of the application or revocation of admission. I agree that this electronic submission serves as a legally binding signature, and I consent to its use in accordance with the school's policies and procedures.

Student Information

Grade Applying *

Section *

Legal First Name *

Middle Name

Legal Last Name *

Gender *

Date Of Birth *

Mobile Number

Email

Student primarily lives with *

Siblings currently attending

Home Phone *

Address *

City *

County *

State *

Zip Code *

School District of Residence *

Country of Birth *

City of Birth *

Ethnicity *

Race *

Language prefer to communicate? *

Do you need translation services?

Language your child learn first? *

What language does your child use the most at home? *

Has your child ever received formal education outside of the USA? *

Has your child attended school in the United States of America? *

Has your student received English as a Second Language (ESL) instruction? *

Why do you think our school is a good option for your student? *

Other Information

Does the student have a 504 plan? (Yes/No)

Will the student be a 1st Generation student? (Yes/No)

Direct dependent of a US Military member? (Yes/No)

Does the student have a current IEP? (Yes/No)

Working with speech teacher? (Yes/No)

Does student been identified as gifted? (Yes/No)

Notes

Parent Information

Father's Full Name

Father's Phone

Father's Occupation

Mother's Full Name

Mother's Phone

Mother's Occupation

Guardian Information

If Guardian Is * Father Mother Legal Guardian

Guardian's Full Name *

Guardian's Relation *

Guardian's Email *

Guardian's Phone *

Guardian's Occupation

Guardian's Address *

Home/Residential Information

If Guardian Address Is Current Address

Current Address

If Permanent Address Is Current Address

Permanent Address

Ethnicity / Race/ Data Collection Form

The United States Department of Education has issued guidelines requiring the collection of data on race and ethnicity for public school students. The federal government, which requires all states to collect this information, has developed a new to report ethnicity and race that includes new categories.

If the following questions are not answered by the parent of guardian, the District Enrollment Officer will be required to use observation identification to determine the student's designation. The determination will be reported to the parent of guardian.

Part I ─ Is this student of Hispanic / Latino heritage? *

The above question about ethnicity, not race. No matter what you selected above, please continue to answer Part II by checking one or moreoptions to indicate what you consider your students race to be.

Part II─ Race? *

Parent Agreement

The parent or guardian of a child attending the Academy must:

Transport student to and from school on time daily, unless parent has opted to use district-provided transportation. Parents or designee must also be available to transport children who must be removed from school due to illness or other circumstances.
Adhere to the school schedule as well as the occasional cancellation of classes.
Adhere to the school schedule for arrival and dismissal times. Absenteeism, tardiness, and late dismissals (not pre-arranged) will not be tolerated.
Ensure that daily homework assignments are completed.
Participate in a minimum of twenty (20) parent / family volunteer hours per academic year, which may include:
Parent Teacher Organization (PTO), attendance, driving to / from field trips, classroom / office attendance, and / or fundraising
Ensure that your child meets all immunization requirements for the State of Ohio and meets all school requirements if the child has special health needs.
Keep child at home if he / she has a communicable disease or temperature above 99.8 degrees.
Attend meetings of the Parent Teacher Organization (PTO) once a month.
Attend all parent / teacher conferences.
Meet the uniform requirements of the school and ensure that your child is in complete uniform each day of class.
Understand that the Academy is an Islamic school established under Chapter 3314 of the Revised Code. The Academy is a charter non-public school and students enrolled in and attending the Academy are required to take proficiency tests and other examinations prescribed by law. In addition, there may be other requirements for students at the school that are prescribed by law. Students who have been excused from the compulsory attendance law for the purpose of home education as defined by the Administrative Code shall no longer be excused for that purpose upon their enrollment in a charter school. (For more information about this matter contact the Academy.)

I have read the above and understand the contents of the information as explained by the Academy officials.

TRANSPORTATION / PICK-UP

I am permitting the following persons to transport my child to/from school. l understand that if a person that is not on the following list shows up to transport my child, the school will not release the student without first contacting the parent / guardian. All persons must be at least eighteen (18) years old

Full Name 1: *

Relationship: *

Phone No.: *

Full Name 2:

Relationship:

Phone No.:

Full Name 3:

Relationship:

Phone No.:

The following persons are NOT permitted to transport my child (if applicable):

Full Name 1

Full Name 2

Full Name 3

Emergency Medical Authorization

Purpose: To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under schoolauthority, when parents or guardians cannot be reached.

Persons to contact in the event the school cannot reach you:

Name 1: *

Relationship : *

Phone: *

Name 2 :

Relationship:

Phone :

Name 3

Relationship :

Phone :

PART I OR II MUST BE COMPLETED─PLEASE COMPLETE ONLY PART I OR PART II

PART I: TO GRANT CONSENT I hereby give consent for the following medical care providers and local hospitals to be called:

Doctor Name:

Doctor Phone:

Dentist Name:

Dentist Phone:

Hospital Name:

Hospital Phone:

In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above-named doctor, or, in the event the designated preferred practitioner is not available, by another licensed physician or dentist; and (2) the transfer of the child lo any hospital reasonably accessible. This authorization does not cover surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.

Facts concerning the child's medical history including allergies, medications being taken, and any physical impairments to which a physician should be alerted:

PART II: REFUSAL TO CONSENT I do NOT give my consent for emergency medical treatment of my child, ln the event of illness or injury requiring emergency treatment,

I wish the school authorities lo lake the following action(s):

Health & Fitness Parental Consent Form

I hereby certify that I am the parent/legal guardian of the student named above, and that to the best of my knowledge, he/she Is physically fit to participate in all sporting events scheduled through foe Academy, subject to the limitations listed below.

lt is understood that by signing this contract, l agree to abide by the rules and regulations of the school's fitness program. It is also understood that signing this contract releases from liability, the school and/ or fitness Instructors from any injuries sustained during his/her participation in all sporting events or practices,

Insurance: It is the responsibility of each parent/legal guardian to adequately cover their child participating in any sporting event through the Academy program with proper insurance.

Please list below any illness, injury, limitation, or other medical condition that would limit your child's participation in the fitness program in any way. Please not "None" if your child does not have limitation. ***If your child has asthma

but will be participating in the Fitness program, he/she MUST bring his/her inhaler to fitness class each day. You MUST fill out medication permission forms for inhalers to be permitted in fitness classes.

*

Warning

l am aware that playing or practicing to play/ participate in any sport can be a dangerous activity involving many risks of injury. I understand that the dangers and risks of playing or practicing to play / participate in sports include, but are not limited to: death, serious neck and spinal Injuries which may result in complete or partial paralysis, brain damage1 serious injury to virtually all internal organs, serious injury to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the skeletal system, and serious injury or impairment to other aspects of the body, general health and well-being. I understand that the dangers of playing or practicing to play / participate in sports may result not only in serious injury, but in serious impairment of my child's future abilities to earn a living, to engage in other business, social' and recreational activities and generally enjoy his I her life.

Directory & Minor Photo Release Form

I give the Academy permission to publish in print, electronic or video format the likeness or image of my child. I release all claims against the school or its representatives with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

With my signature I also am informing the Academy that I do not wish to release my or my child's directory information when a request for directory information is made with the Academy by another party not related to the Academy

General Guidelines

A release must be obtained when photographing or videotaping a minor (under 18). Parent or guardian signatures are required; signatures of minors are not sufficient. When images are published, the school or its representative will take cautionary steps to provide minimum identifying information and will not use specific street or mailing addresses, e-mail addresses, or phone numbers. Signed release forms am not needed when subjects; are in public places, such as fairgrounds or parks. It is the responsibility of the photographer or videographer to obtain signed release forms and maintain records. If you have questions, please inquire at your child's school office.

I have read and agree to the Electronic Signature Statement

PARENT REFERAL FORM

How did you hear about the Academy? *

Agreement & Signature

I have read and agree to the Electronic Signature Statement

Parent/Guardian signature(Enter Full Name) *