Imagine International Academy of North Texas
2016-2017 Application for Admission

An application must be entered for each student you wish to enroll.  Carefully complete and review all required fields in the application before submitting.  Any errors or omissions may invalidate the student's eligibility for enrollment to Imagine International Academy of North Texas.

Information collected in this application will only be used for the Imagine International Academy of North Texas admission lottery and subsequent enrollment process.  For additional information please refer to our Admissions FAQ or email questions to: admissions@imaginenorthtexas.org

Applicant Information
Student's Name *
Student's Name
Date of Birth *
Date of Birth
Student's Address *
Student's Address
Does the student have a documented history of any criminal offense, juvenile court adjudication, or disciplinary problems? *
If admitted, may we post your child's last name and first initial on the school website to notify you of admission? *
Currently enrolled sibling information
Does the student have a sibling currently enrolled at Imagine International Academy of North Texas *
(If multiple siblings are enrolled enter the oldest' name. Leave as "N/A" if no siblings are enrolled)
(If multiple siblings are enrolled enter the oldest' name. Leave as "N/A" if no siblings are enrolled)
Parent/Guardian Information
Please enter the primary contact for lottery purposes. Contact information for additional parent/guardians will be collected upon admission.
Parent/Guardian Name: *
Parent/Guardian Name:
Parent/Guardian Home Phone Number:
Parent/Guardian Home Phone Number:
Parent/Guardian Mobile Phone Number:
Parent/Guardian Mobile Phone Number:
Parent/Guardian Business Phone Number:
Parent/Guardian Business Phone Number:
Signature
You are required to complete the application by submitting an electronic signature.