Student Application

Tawheed Center of Detroit School
Student Application Form
20601 W. Warren Ave. Dearborn Heights, MI 48127
Tel: (313)-271-0731
www.school.masjidtawheed.org

ADMISSION POLICY

Tawheed Center of Detroit School complies with the Qur’an and Sunnah that is well reflected in Islamic Law, Federal and State laws regarding non-discrimination, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. Tawheed Center of Detroit School is committed to a policy of non-discrimination and equal opportunity for all persons regardless of race, gender, color, religion, creed, national origin or ancestry. However the school shall reserve the right to deny enrollment because of a record of unacceptable behavior and/or poor past academic performance.

Admission Application Packet

Student Application form 2018-19 — Fill online and print

Mandatory Student Questionnaire-2018-19

Discipline Record Request Form-2018-19

Authorization for Release of School Records

Health Appraisal Form

Student Uniform Policy 2017-18

Student Enrollment Checklist

Tuition Plan Tawheed School 2018-19

Teacher Recommendation Form

Emergency Contact Information Form — Fill online and print

Download the Complete Student Application Package -2018-19

Student Application Form

(A) Student’s Information

1. Student's First Name(required)

2. Student's Last Name(required)

3. Application For:(required)

4. Grade Applying For(required)

5. Gender(required)

6. Date of Birth (month/day/year)(required)

7. Place of Birth(required)

8. Country of Citizenship(required)

9. Email Address(required)

10. Address(required)

11. Phone(required)

(B) Parent’s Information

12. Father's Home Phone Number(required)

13. Father's Cell Phone Number(required)

14. Father's Employer Name(required)

15. Father's Work Address(required)

16. Father's Work Phone Number(required)

17. Mother's Name(required)

18. Mother's Address(required)

19. Mother's Home Phone Number(required)

20. Mother's Cell Phone Number(required)

21. Mother's Employer Name(required)

22. Mother's Work Address(required)

23. Mother's Work Phone Number(required)

24. Religion(required)

25. Languages Spoken(required)

26. Parents' Marital Status(required)

27. If Separated or Divorced, with whom does the Child Reside?

(C) Student’s Academic History

28. Grade Completed(required)

29. Previous School Address(required)

30. Previous School Phone Number(required)

31. Previous School Fax Number

Language Information

32. Is your child’s native tongue a language other than English?(required) Yes

33. If yes, What is that language?

34. Is the Primary language used in your child’s home or environment a language other than English?(required) Yes

35. If yes, What is that language?

(D) Emergency Information

36. Emergency Contact Person 1 - Name(required)

37. Emergency Contact Person 1 - Relationship(required)

38. Emergency Contact Person 1 - Phone Number(required)

39. Emergency Contact Person 2 - Name(required)

40. Emergency Contact Person 2 - Relationship(required)

41. Emergency Contact Person 2 - Phone Number(required)

42. Does the student have any allergies (food and otherwise)?(required) Yes

43. If yes, please explain

(E) Agreement Information

I do hereby affirm that, to the best of my knowledge, all the statements made on this application are true and complete. I understand that any falsification herein could mean immediate dismissal of my child/ward. I also understand that this application does not guarantee admission of my child. Admission is solely the discretion of The Tawheed Center of Detroit School. I also understand that proper fees must be paid before my child/ward can be officially enrolled.(required)

Signature Name(required)

Signature Date(required)