Student’s Name:
    Grade in 2009-10:

APPLICATIONS WILL NOT BE ACCEPTED PRIOR TO OCTOBER 4, 2008
APPLICATIONS MUST BE POST MARKED ON OR AFTER OCTOBER 4, 2008

ALL applicants wishing to attend the International School of Louisiana for the 2009-10 Academic Year must attach the following:

Please check off each item as attached:

• 2 proofs of residency
• (utility or phone bills, voter registration card, driver’s license &/or copy of lease)
• Note: The name and address on proof of residency must be a parent or legal guardian. Custody documentation must be included if the parent or legal guardian named is different from the one listed on the child’s birth certificate.
• Copy of birth certificate or passport
• Copy of health insurance card or proof of health insurance
• Copy of updated immunization records
• Copy of Social Security card
• (Students without a Social Security number should contact the school for further information)
• Copy of additional medical information (if necessary)
• (Example: chronic illnesses or conditions, standing medication orders)
• Copy of last report card/final semester grades and attendance from previous school
• (if applicable)

Application Deadlines

Kindergarten February 13, 2009
Lower School (1st -4th) May 8, 2009
Middle School (5th – 8th) May 8, 2009
All applications received after the above dates will be placed on a waiting list.

Mail or Deliver Completed Applications to:

• International School of Louisiana
• Attn: Admissions
• 1400 Camp Street
• New Orleans, LA 70130

Completed applications must be post-marked or date-stamped by the appropriate deadline.

APPLICATIONS ARE NOT ACCEPTED BY FAX OR E-MAIL.

Application for Admission

Year applying for:

Grade applying for:

Preferred Immersion Language:
Spanish
French

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A. Applicant Data

Child’s Name (as recorded on birth certificate):

Last:
First:
Middle:

Primary Guardian:

Primary Phone #:

Address:

Date of Birth:

Place of Birth:

Date of Entry to U.S.:

Child’s Age:

Gender:

SS#:
My child does not have a social security number

Child’s Race (check all that apply):

• American Indian/ Alaskan Native
• Asian
• Black or African American
• Hispanic
• White
• Native Hawaiian or other Pacific Islander

Primary Language Spoken at Home:

Has the student previously attended ISL?
yes
no

If so, what dates/grade(s)?

Name(s) of siblings currently attending ISL:

Name(s) of siblings also applying to ISL for the current academic year:

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B. Family Information

Child lives with whom:

Does a custody order exist?
yes
no (If yes, a copy of the current order must be attached.)

Father/ Guardian Name:

If guardian, relationship to child:

Address (if different from above):

Home Phone:
Cell Phone:
Email:

Occupation:
Place of Employment:

Employment Address:

Phone:

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Mother/ Guardian Name:

If guardian, relationship to child:

Address (if different from above):

Home Phone:
Cell Phone:
Email:

Occupation:
Place of Employment:

Employment Address:

Phone:

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C. School or Pre-School Information

Name of Last School or Pre-School Attended:

Name of Principal:
Phone Number:

School Address:

Grade Completed:

May we contact your child’s current/previous school?
yes
no

If no, please explain:

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D. Emergency Contact Information

1. Name:

Relationship to child:

Home Phone:
Cell Phone:
Alternate:

2. Name:

Relationship to child:

Home Phone:
Cell Phone:
Alternate:

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E. Household Income

Total number in household:
Food Stamp/FITAP # (if any)

Total Annual Income (check one):

• $0 – $21,000
• $21,000 – $34,000
• $ 34,000 – $41,000
• $41,000 – $60,000
• $60,000 – above

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F. Parent/Guardian Signature

I certify that I am the legal guardian of
and that the information I have given is true and correct to the best of my knowledge.

Signed:
Date:

www.isl-edu.org