The Light Academy - Admission Form
» Form
» Review
» Thankyou
STUDENT INFORMATION
Surname
*
(Please enter the student's Surname)
Middle Name
First Name
*
(Please enter the student's First Name)
Date of Birth
*
Gender
*
Male
Female
Religion
*
Christian
Muslim
Traditional
Other
(Please tick where necessary)
Ghanaian Languages Spoken
*
Photo ID
File
Attach a recent passport-sized photograph. Format: JPEG/PNG (for digital submission) Face must be clearly visible with no obstructions (e.g., hats, sunglasses).
Place of Residence
*
(Please enter the full residential address)
STUDENT'S PREVIOUS SCHOOLING INFORMATION
Name of School
Name of Previous/Present School
Date of Admission
Date of last attendance
FATHER INFORMATION
Title
*
Mr.
Father's Name
*
Please enter father's full name
Telephone
*
(
)
-
Occupation
*
Father's Email
Religion
*
Christian
Muslim
Traditional
Other
Living Status
*
Alive
Deceased
Unknown
(Please tick where necessary)
Home Address
*
Please enter father's home address
MOTHER INFORMATION
Title
*
Ms.
Mrs.
Mother's Name
*
Please enter mother's full name
Telephone
*
(
)
-
Occupation
*
Email
Religion
*
Christian
Muslim
Traditional
Other
Living Status
*
Alive
Deceased
Unknown
(Please tick where necessary)
Home Address
*
Please enter mother's home address
SIGNIFICANT DATA
Student lives with
*
Both Parents
Father
Mother
Guardian
Grandparents
(Please tick where necessary)
Number of Siblings
*
Student Blood Group
Number of other children living in the home
*
GUARDIAN INFORMATION (If Applicable)
Title
None
Mr.
Ms.
Mrs.
Guardian Name
Please enter guardian's full name
Telephone
(
)
-
Occupation
Email
Relationship to Student
Religion
Christian
Muslim
Traditional
Other
(Please tick where necessary)
Education Level Attained
JHS
SSS
Diploma
Degree
Masters
PhD
Professional Qualification
Other
(Please tick where applicable)
Home Address
Please enter guardian's residential address
CHILD SPECIAL HEALTH CONDITION
Student has normal health
*
Yes
No
Student has normal eye sight
*
Yes
No
Student has normal hearing
*
Yes
No
Student has normal speech
*
Yes
No
Student has normal Arm
*
Yes
No
Student has normal Leg
*
Yes
No
Student has Sickling
*
Yes
No
Student has allergies (food)
*
Yes
No
Student has chronic skin disease
*
Yes
No
Other Health Condition
(Please specify other health conditions)
CHILD SPECIAL TALENT AND INTEREST
What Clubs and Activities would your ward be interested in?
*
Sports
Music
Debates
Drama
Boys Scout
Girls Guides
Green Earth
Science & Robotics
(Please tick where applicable and state if other)
Student other interest and talents
Class you want to apply for
*
None
Play Ground
Nursery 1
Nursery 2
Kindergarten
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
JHS 1
JHS 2
JHS 3
CHILD PERSONAL DEVELOPMENT - Behavioural Characteristics (Conduct)
Courtesy
*
Very High
High
Average
Low
Poor
Neatness
*
Very High
High
Average
Low
Poor
Honesty
*
Very High
High
Average
Low
Poor
Initiative
*
Very High
High
Average
Low
Poor
Sociability
*
Very High
High
Average
Low
Poor
Creativity
*
Very High
High
Average
Low
Poor
Volunteerism
*
Very High
High
Average
Low
Poor
Dependability
*
Very High
High
Average
Low
Poor
Cooperate Spirit
*
Very High
High
Average
Low
Poor
Emotional Control
*
Very High
High
Average
Low
Poor
Leadership Qualities
*
Very High
High
Average
Low
Poor
OTHER
Do you have other children in the school?
Yes
No
What class is your ward currently in?
*
None
Play Ground
Nursery 1
Nursery 2
Kindergarten
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
JHS 1
JHS 2
JHS 3
E-SIGNATURE
Name of Parent/Guardian
*
Please enter your full name to confirm that all information stated above is entered by you or upon your instructions and that they are true. The Light Academy is not liable for any errors arising from non-disclosure of relevant facts by parents/guardians.