Name of Student

 

Mother's Name

 

Father's Name

 

Guardian's Name

 

Address

 

Zip/Postal Code

 

State/Province

 

Country

 

Home Phone

 

Parent/Guardian Work Phone

 

E-Mail

 

Age of Student

 

Grade Enrolling

 

Family Arrival Date

 

Expected First Day of School

 

SCHOOL HISTORY

Name of School

Years Attended

Grade Completed

     
     
     

STUDENT'S INTERESTS




ACADEMIC AWARDS OR HONORS




Student's transcripts will be required. Please feel free to make any additional comments or enlighten us on any pertinent information.


For further information, please contact the school office by calling or faxing 011-501-226-3642.
Click here for E-Mail - islandacad@btl.net
Direct correspondence to:
Dixie Summerscales
Director
The Island Academy
Coconut Drive
San Pedro, Ambergris Caye
Belize, Central America

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