Private School Serving Grades PK-8th Opening Fall 2021

Admissions Form
Part 1

Thank you for your interest in Life International Academy! Please fill out part one of the admissions form and allow a few days for our admissions team to review your application. Please note, the application fee is non-refundable and doesn't guarantee your child a spot at LIA. Someone will contact you to guide you through part 2 of our admission process.

Application fee is $30

Student Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

Present Age

Social Security Number

Country of Birth

Country of Citizenship

Languages Spoken at Home

Student Interests

Does the student participate in any extracurricular activities? Please list.

List any Approved Scholarships Your Child Has

Current School Attending

Current School Contact Info

Name of School Head

Add Another Candidate?

Yes

Student 2 Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

Present Age

Social Security Number

Country of Birth

Country of Citizenship

Languages Spoken at Home

Student Interests

Does the student participate in any extracurricular activities? Please list.

List any Approved Scholarships Your Child Has

Current School Attending

Current School Contact Info

Name of School Head

Add Another Candidate?

Yes

Student 3 Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

Present Age

Social Security Number

Country of Birth

Country of Citizenship

Languages Spoken at Home

Student Interests

Does the student participate in any extracurricular activities? Please list.

List any Approved Scholarships Your Child Has

Current School Attending

Current School Contact Info

Name of School Head

Add Another Candidate?

Yes

Student 4 Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

Present Age

Social Security Number

Country of Birth

Country of Citizenship

Languages Spoken at Home

Student Interests

Does the student participate in any extracurricular activit

Private School Serving Grades PK-8th Opening Fall 2021

Admissions Form Part 1

Student Information

Admissions Form
Part 1