Admission Request

Secure Application

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UE Extra Field

STUDENT INFORMATION

All information is protected by the freedom of Information Act.

Full Name*

Birth Date*

Nationality*

Sub-city*

Woreda*

House No.*

Last Grade*

Seeking Entry To Grade*

Sibling Name*

Grade Level*

FATHER INFORMATION

All information is protected by the freedom of Information Act.

Father's Full Name*

Sub-city*

Woreda*

House No.*

Profession

Home Phone

Cell Phone *

Father'sEmail

MOTHER INFORMATION

All information is protected by the freedom of Information Act.

Mother's Full Name*

Mother's Sub-city*

Mother's Woreda*

Mother's House No.*

Mother's Profession

Mother's Home Phone

Mother's Cell Phone *

Mother's Email

Emergency Contact: Other than Parent/Guardian

All information is protected by the freedom of Information Act.

Full Name

Phone No.

Ext.

Full Name

Phone No.

Ext.

Permission for Hospitalization*

In case of emergency, after efforts have been made to contact me or the emergency contacts I provide, and no direct contact can be made, I give permission for my child to be transported to the nearest hospital and treatment provider. I accept responsibility for the cost of transport and treatment.

Privacy and Protection*

I understand that I must fully disclose any an/ all information that would help school in protecting my child.

Are there any custody issues/Orders that the school should be aware of?*

No Yes

Custody Issues or Orders*

Photographs and Media Materials

All information is protected by the freedom of Information Act.

Photographs and videos may be taken from time to time either in the school or possibly on excursions. Please indicate below your permission for a photograph of your child to appear in school Newsletters, in the classroom, and on the PIA website for educational decorative or promotional display by Pantokrator International Academy.
My child/ren can have their pictures used.*

Yes No

Off-Premises Activities*

I understand that at various times throughout the school year, teachers extend and supervise the learning experiences of students through mini excursions in the local community. As always, every precaution is taken to ensure the safety of our students. Parents/Guardians will be informed of such occasions as they arise.

Health*

I agree to immediately inform the school if my child contracts a communicable illness. The school, which has the responsibility of determining the impact of such a disease on the total well-being of the student population, staff and other parents, reserves the right to make the final decision on a withdrawal, whether it be temporary or permanent.

Discipline*

I agree to invest authority in the school to discipline my children as need. I also agree to cooperate and discipline my children at home as needed. The principal has the authority to suspend or expel my child for persistent refusal to follow the student code of conduct.
In addition, I acknowledge that if my child is found to be involved in any form of bullying or harassment that exploits Pantokrator International Academy's advantage, the academy reserves the right to terminate this registration agreement. If necessary, the academy may also pursue legal action through the relevant authorities.

Wearing uniforms is mandatory for all days except Wednesdays in which students can wear other school appropriate clothes. If a student didn’t wear a uniform he will be sent back to home.
Parents/guardians that are going to pick up the students from school should always bring the students’ Identification card (ID) if not he/she won’t be able to take student from the school.

Defamation and Social Media Policy*

I understand that making false accusations or exposing Pantokrator International Academy in a negative light on mainstream media or social media platforms may result in the immediate termination of this registration agreement. Furthermore, the academy reserves the right to take legal action to protect its organizational reputation.

School Hours*

I, as parent or guardian, of the applicant, agree with all the terms of this agreement and certify that all information in this form in correct.
I, authorize Pantokrator International Academy to make inquiries into the background of my child.

Any student arriving in the school before 7:30am or leaving after 4:00pm will be placed in the after school program and be charged as ETB 300/per child/ per day fee.

Regarding Tuition Fees*

I agree to pay the tuition fees according to the policies of the school, and I agree to the non-refundable registration and material fee upon registration.

Withdrawal*

I agree to withdraw my children if I fail to meet the tuition requirements as stated in the school board policy:

“In the event of non-payment of fee, parents are expected to withdraw their children before 30 days have elapsed. A 5% administration fee will be charged for each month the account is not paid.

I agree that in the case that I desire to withdraw my child after registration has taken place and classes have begun, I will abide by the following statement designated by the school board policy:

“If a student is withdrawn, tuition due for the remainder of the term will be due immediately. The school requires that a one month notice be given, in writing or by withdrawn form, one month in advance of departure so that any outstanding financial obligations by the parent or guardian involving the student be dealt with”.

Additional Fees*

I understand that if my child willfully causes damage to property or equipment, I will be liable for the assessed replacement cost of the equipment.

Fundraising*

I understand that the tuition fees do not completely cover the cost of educating my children and therefore I will support the school’s fundraising program.

Payment scheme

To be paid by: Monthly payments (10 times school year payment plan)
To be paid by: Quarterly payments (4 quarter in 10 month school year)
First Month/quarter payment due upon registration

Tuition fee timeline

Payment method: All payments are to be settled through bank transfer
Monthy payement:- Payment time: from 1 to 3, and Penality; 4 & 5
Quaterly payement:- Payment is to be settled in the first 5 days of the quarter (the 3 days for regular payement & 2 additional days for penality)
The school will send payment notice 3 days before the payment time.
Parents should be aware that students will not be allowed in the school compound if tuition fee payment is not settled on the above date.

Terms of Validity(Effective Period) of the Registration Agreement*

The terms and conditions outlined in this registration agreement shall be effective as of the date of its signing and continue to come in to force until updated version is signed.

Secure Application

STUDENT INFORMATION

FATHER INFORMATION

MOTHER INFORMATION

Emergency Contact: Other than Parent/Guardian

Medical history

Photographs and Media Materials

Payment scheme

Tuition fee timeline