K12 ONLINE SCHOOLING ENROLLMENT FORM

This form must be completed for any student applying to enroll into the Education World Wide USA International Private Educational Organization registered in the state of Florida Board of Education with the school code 4627. This form is required and designed to support a successful and positive transition in the admissions process and should be provided along with the student’s enrollment and supporting documents.

STUDENT INFORMATION:

First name *

Preferred name

Last name *

Enrolling for (anticipated grade level)*

Gender *

Student Date of Birth *

Nationality *

Place of Birth *

First (native) language *

Second language

Anticipated start date *

PARENT/GUARDIAN INFORMATION:

Address (Street, City/Town, State) *

Country *

Suburb *

Postal Code *

Parent/Guardian name/s *

Relationship to student *

Parent/Guardian Contact number/s *

Parent/Guardian Contact email/s *

TUITION FEE BILLING ADDRESS DETAILS:

Payer name *

Company name

Address (Street, City/Town, State) *

Country *

Suburb *

Postal Code *

Payer Contact number *

Payer Contact email *

Payment Plan *
Full upfront paymentFlexible monthly payment

TRANSITION SUPPORTS / LEARNING SUPPORT INFORMATION

Detail any support you think may be required for the student to make a successful and positive transition and any
referrals that you may have made.
Please answer the following questions listed below and provide any reports, individual education plans, or psychoeducational assessments to this form (if applicable). Disclosure of such information regarding the student’s learning needs
is a required part of the application process.

English Proficiency *

Please use this section to describe the student's ability in the English language:

Speaking:
FluentGoodBasicNone

Listening *
FluentGoodBasicNone

Reading *
FluentGoodBasicNone

How many years your child been instructed in and/or has studied in English? *

What kind of English program and level of English was taught at the child's previous school? *

Is English spoken or practiced at home? *

Is English practiced / instructed / spoken outside of the school realm? *

Has the child had any form of previous online / distance learning this past year (and/or in previous years)? *

Please provide name and contact details of the student's previous school attended: *

Is there any information that we should know about your child's approaches to learning? Do they have any learning disabilities or are there learning requirements that we should be aware of? *

Is there any additional information that would be useful for our team to know that would help us best support them as a student in our online learning environment? *

REASON FOR ONLINE SCHOOLING *

Moving to a new locationSeeking different educational opportunitiesOther, please specify:

HOW DID YOU FIND OUT ABOUT EDUCATION WORLD WIDE? *

Google SearchGoogle AdsFacebookInstagramRecommendation

ACTION CHECKLIST *

Referrals made – correspondence either in the form of email and/or online consultation with admissions staff has been receivedTransition Supports / Learning support information – information about the student and any support/special requirements requestedEnrollment Documents – previous academic transcripts, passport copy (or other form of valid ID) will be provided as part of the admissions documents

DOCUMENTS UPLOAD

Upload your education transcript and the copy of the passport here

STUDENT DECLARATION *

I agree to the terms and conditions for the purpose of Education World Wide K-12 Online Schooling.

Note: Students aged under 18 may also wish to be recognized as a mature minor and complete this section themselves.