Rawdatul Ilm Academy Registration Form 2022-23
Rawdatul Ilm Academy 
10501 Success Lane
Washington Township, OH 45458

Please fill out a separate admission form for every child if you are enrolling more than one child.

After submitting the online admissions application, please deposit the admission fee. You can also Zelle at: principal@rawdalearning.com OR send a check by mail/ submit at school office notated as the admissions fee with the child's name.

We thank you for choosing Rawdatul Ilm Academy to serve your child's educational needs. Please submit the supporting documentation at the school office once application is submitted for the registration process to be completed. 

For questions, please contact: 732-692-3034.
登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
Student Name *
First and last name
Student Birthdate *
Gender *
Home Address (Home Address, City, State, Zip) *
Current School  *
Current Grade *
Medical Issues or Learning Disabilities (if any) *
Questions or Comments  *
Place of Birth  *
Ethnicity *
List the school(s) the child has attended in the past three years
 *
Child will be in the following grade in the 2022/23 Academic Year
 *
Father Full Name 
First and last name
 *
Father Cell Phone  *
Father Work Phone  *
Father Email Address *
Educational Background  *
Occupation  *
Employer   *
Mother Full Name 
First and last name
 *
Mother Cell Phone  *
Mother Work Phone  *
Mother Email Address  *
Educational Background  *
Occupation  *
Employer  *
Parents are:  *
If parent/parents remarried, or 
If a parent is deceased, or 
If a parent/guardian is living abroad or out of state, please specify: 
If parents are separated or divorced, who has legal custody of the child?
Who is financially responsible for the child?
 *
Which parent receives admissions correspondence?
 *
SIBLING #1 INFORMATION, Please List:
 (Sibling Name, Date of Birth, Current School, Current Grade) 
 *
SIBLING #2 INFORMATION, Please List:
 (Sibling Name, Date of Birth, Current School, Current Grade) 
 *
SIBLING #3 INFORMATION, Please List:
 (Sibling Name, Date of Birth, Current School, Current Grade) 
 *
SIBLING #4 INFORMATION, Please List:
 (Sibling Name, Date of Birth, Current School, Current Grade) 
 *
SIBLING #5 INFORMATION, Please List:
 (Sibling Name, Date of Birth, Current School, Current Grade) 
 *
Emergency Contact Person #1 full name
 *
Emergency Contact Person #1 relationship to child
 *
Emergency Contact Person #1 Phone number
 *
Emergency Contact Person #1 Address
 *
Emergency Contact Person #2 Full Name
 *
Emergency Contact Person #2 relationship to child 
 *
Emergency Contact Person #2 phone number
 *
Emergency Contact Person #2 Address
 *
Please note that in order for your application to be reviewed you need to pay the registration fee. 
The registration fee amounts to $50. Please pay via check or Zelle: principal@rawdalearning.com.

提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Rawdatul Ilm Academy 中建立。 檢舉濫用情形
Google 表單