Scholarship - AURA - American University Research Academy

Application for Admission

Month of Application

Date of Application

Year of Application

Student Information

Full Name of Application *

First Name

Middle Name

Last Name

Gender

Preferred Name / Nickname

Grade Applying for *

Birth Month

Birth Date

Birth Year

Address *

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Current/Previous School Information

Applicant Current School and Grade *

School

Current Grade

School Head or Principal

Name

School Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

School Phone Number

Area Code

Phone Number

Please list all school Applicant has attended and provide dates of attendance

Family Information

Parent/Guardian #1 *

Title

First Name

Last Name

Home Address

If not the same as above

Cell Phone Number *

Area Code

Phone Number

E-mail *

This email will receive submission confirmation/receipt

ex:[email protected]

Occupation/Place of Business *

Job Title

Business Address

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Country

Business Phone

Area Code

Phone Number

Relationship to Applicant *

Parent Marital Status *

Parent/Guardian #2

Title

First Name

Last Name

Home Address #2

If not the same as above

Cell Phone Number #2

Area Code

Phone Number

E-mail #2

ex:[email protected]

Accupation / Place of Business #2

Job Title #2

Business Address #2

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Country

Business Phone #2

Area Code

Phone Number

Relationship to Applicant #2

Parent Marital Status #2

Sibling Information

Please enter name, age, and school of sibling

Sibling Name

School Attending

Age

Additional Sibling Information

If more than will fit above

Sibling Name

School Attending

Age

How did you hear about AURA?*

Educational Assessment

How would you describe your child's personality? *

My child excels at...

Please describe the educational environment that you are seeking for your child.

What would you like us to know about your child?

What are your expectations of your child's AURA educational experience?

How would you describe your child's academic performance to date? *

Enrollment Application

4. Has additional testing or tutoring been indicated for your child at any point in school?

YesNo

5. Please note any academic and or social concerns for your child that we should be aware of.

6. Please explain any special medical attention that your child has received or is receiving from a medical professional.

7. Has your child been referred for psychological or educational assessment?

YesNo

Has a previous school recommended that your child receive

8. Describe your hopes for your child as a student at AURA.

Along with pages 1 through 3 of the Admission Application, please enclose:

The appropriate application and/or registration fee payable to AURA(See Tuition Schedule)
Copy of applicant birth certificate
Recent photo of applicant (optional, but helpful)

Tell us about any special interests/talents in mucsic, art, religion, athletics, academics, or other are that your child has.

Signature

Typing your name below constitutes a signature and agreement to the above statements

Will the family be applying for Financial Aid?

YesNo

This form must be completed in order to be considered for scholarship.

Full Name of Parents/Guardians *

If BOTH PARENTS are living, please include BOTH names below

Parents/Guardians #1

Parents/Guardians #2

Last Name

A non-refundable application fee of $100 must be submitted with this application.

Payment

Processing fee will be added to all credit card transactions. (AMEX - 4%, all other cards 3%)

Credit CardOther