Student Enrollment Form
Complete all required sections below. Fields marked with ★ are required. Documents must be uploaded to proceed. Completed forms will be forwarded automatically to designated staff upon submission.
Find Closest School Location ★
Enter a valid ZIP code or choose a location manually.
Closest location will appear here.
Enter the student's ZIP code to see the best-fit location, or choose another location below.
Choose another location
Use this if the closest location is not the correct fit.
Please select a school location.
1
Student Information
Legal name, date of birth, contact details
Please select enrollment type.
School year is required.
Last name is required.
First name is required.
Grade is required.
Gender is required.
Date of birth is required.
Street address is required.
City is required.
State is required.
Valid ZIP code is required.
Home phone is required.
ETHNICITY / RACE — Providing this information is optional and not used to make enrollment decisions.
Enrollment Preference (A.R.S. § 15-184(B))
Date(s) of prior attendance are required when Yes is selected.
Sibling name is required when Yes is selected.
Military Student Identification (not used for enrollment decisions)
2
Parent / Guardian Information
Mother/Father/Guardian contact and custody details
Mother or Guardian
Last name is required.
First name is required.
Valid home phone is required.
Mother/Guardian address is required.
Mother/Guardian city, state, and ZIP are required.
Valid email is required.
Father or Guardian
Valid home phone is required.
Father/Guardian address is required.
Father/Guardian city, state, and ZIP are required.
3
Previous Enrollment History
All schools attended in current or past school years
List all schools attended during the current or past school years.
School 1
Required.
Required when school history is entered.
Required when school history is entered.
Required when school history is entered.
Required when school history is entered.
4
Residency Documentation
Arizona Residency Documentation Form (ADE)
Note: Does not apply to homeless students. Select the document type you are providing as proof of residency.
Guardian name is required.
Please select a residency document type.
Click or drag your document here
PDF, JPG, or PNG — max 10MB
Proof of residency document is required.
5
Home Language Survey
Arizona Department of Education — OELAS
Responses are used for instructional planning and to determine if the student will take the AZELLA placement test. Not used to make enrollment decisions.
This field is required.
This field is required.
This field is required.
6
Emergency Contact Information
Persons other than parent/guardian authorized to care for or transport student
We cannot release the student to anyone who is not listed below.
Emergency Contact 1
Required.
Required.
Required.
Emergency Contact 2 (optional)
7
Medical & Health Information
Voluntary — not used for enrollment decisions
Completion of this section is voluntary. Please check any conditions that apply.
Click or drag immunization record here
PDF, JPG, or PNG — max 10MB
Immunization record or exemption is required.
8
Special Education & 504 Services
Not for enrollment — used for service placement only
9
Income-Based Eligibility
ADE Alternative Form — Free & Reduced Lunch Program
This section is not required for enrollment. It is requested after enrollment to determine eligibility for state and federal programs.
10
Designation of Directory Information
Select any information you do NOT want released without prior written consent
If you do not check any boxes below, it will be assumed you have given permission for the school to release all directory information, including to military recruiters. Check any items you wish to withhold.
11
Supporting Documents
Required and optional document uploads
Uploaded files are checked for legibility. Files that are too small, blurry, or corrupted will be flagged. Max file size: 10MB per file.
Birth certificate, passport, AZ ID, baptismal certificate, etc.
PDF, JPG, or PNG — max 10MB
Copy of unofficial transcript from previous school
PDF, JPG, or PNG — max 10MB
Copy of withdrawal form
PDF, JPG, or PNG — max 10MB
Copy of test scores (if available)
PDF, JPG, or PNG — max 10MB
12
Review & Submit
Validate form and submit
Signer name is required.
You must certify before submitting.