Tucson International Academy
Enrollment / Registration 2025-2026

Registration Form: Please ensure that the student's information and address are completely filled out.

Student Information

Date of Registration *

Enrolling for Grade *

New or returning student *

New Student

Returning Student

Has the student participated in any of the following programs? (Check all that apply) *

SPED (IEP)

Speech therapy

EL (English Language Learner)

Plan 504

Other

Is the student under supervision by the juvenile court? *

Yes

Student Name - By sharing your email address, you give us permission to send you emails regarding TIA and school-related events.

First Name *

Middle Name *

Last Name *

Gender *

Male
Female
No elements found. Consider changing the search query.
List is empty.

Date Of Birth *

Address

Street Address *

City *

State *

Postal Code *

Home Phone *

Cell Phone *

Day Phone *

Email *

Location *

TIA 1230 E Broadway (near the University of Arizona)

TIA Midvale 1645 W Valencia Rd., Suite 101 (east of the pawn shop)

TIA West 2700 W Broadway Blvd (near Pima West High School)

TIA Remote Learning

How do I hear about TIA? *

Newspaper

Yellow Pages

Radio

Other

Another reference (please indicate the name below)

Name of the person who referred you to TIA

Is the above information the same as the previous school year? *

Yes

Ethnicity Preference: *

Hispanic (Mexican, Latin American, or other Spanish origin)

Asian or Pacific Islander (Oriental)

White (not of Hispanic origin)

Black (not of Hispanic origin)

Native American or Alaska Native

Please check the one that best describes you

Previous school address *

Last School Attended *

Last School Grade *

Previous School State *

Previous School City *

Previous School Postal Code *

Previos School Phone *

Family Information

Father's Name *

Father's Last Name *

Currently on active duty? *

Yes

Father's occupation *

Father's place of employment *

Father's Email *

Father's Phone *

Mother's Name *

Mother's Last Name *

Currently on active duty *

Yes

Mother's Occupation *

Mother's place of employement *

Mother's Email *

Mother's Phone *

StepFather's Name *

StepFather's Last Name *

Currently on active duty *

Yes

StepFather's occupation *

StepFather's place of employment *

StepFather's Email *

StepFather's Phone *

StepMother's Name *

StepMother's Last Name *

Currently on active duty? *

Yes

StepMother's Occupation *

StepMother's place of employement *

StepMother's Email *

StepMother's Phone *

Names of legal guardians *

Last Names of legal guardians *

Currently on active duty *

Yes

Occupation of legal guardian *

Legal guardian pattern *

Legal Guardian's Email *

Legal Guardian's Phone *

Is there a parent who does not have custody? *

Yes

The student lives with *

Does this child reside in a foster home or an orphanage? *

Yes

Number of children in the family: *

Brothers and Sisters

1. First Brother's or sister's name *

1. Last name of older brother or sister *

1. Brother or sisters date of birth *

2. First Brother's or sister's name *

2. Last name of older brother or sister *

2. Brother or sisters date of birth *

3. First Brother's or sister's name *

3. Last name of older brother or sister *

3. Brother or sisters date of birth *

4. First Brother's or sister's name *

4. Last name of older brother or sister *

4. Brother or sisters date of birth *

First Emergency Contact Name *

First Emergency Contact Relationship *

Contact First? *

Yes

First Emergency Contact Phone

Second Emergency Contact Name *

Second Emergency Contact Relationship *

Contact First? *

Yes

Second Emergency Contact Phone *

Is the student a dependent of a member of the United States military service in the Active Duty military (Army, Navy, Air Force, Marine Corps, Space Force or Coast Guard) or a dependent of a full-time member of the National Guard or Reserve forces of the United States military ( Army, Navy, Air Force Marine Corps , Coast Guard or Space Force). EN *

Yes

Decline to answer

Is the student a dependent of a non-full-time member of the National Guard or Reserve forces of the United States military (Army, Navy, Air Force Marine Corps , Coast Guard or Space Force) EN *

Yes

Decline to answer

Your answers to these questions will determine whether your child's English language proficiency will be assessed

What was the first language the student learned? *

Has the student been expelled before? *

Yes

Have I received a copy of the school regulations (Parent Student Handbook)? *

Yes

Arizona Department of Education

Arizona Residency Documentation Form

Student

School

School District or Charter Holder

Parent/Legal Guardian

As the Parent/Legal Guardian of the Student, I attest that I am a resident of the State of Arizona and submit in support of this attestation a copy of the following document thaht displays my name and residential address or physical description of the property where the student resides:

Valid Arizona driver's license, Arizona identification card, or motor vehicle registration.

Valid Arizona Address Confidentiality Program Authorization Card

Real estate deed or mortgage documents

Property tax bill

Water, electricity, gas, cable, or telephone bill.

Bank or credit card statement

W-2 wage statement

Payroll Stub

Tribal Registration Certificate (Form 506)

Documentation from a state, tribal, or federal government agency.

Temporary housing facilities at the base (for military families)

At this time, I am unable to provide any of the documents mentioned above. Therefore, I have provided an original affidavit signed and notarized by an Arizona resident attesting that I have established my residence in Arizona with the person signing the affidavit.

Upload Residency Document

Date of Residency Signature

Signature of Parent/Legal Guardian

Clear

*For members of the armed services , the provision of verifiable documentation does not serve as a declaration of official residedncy for income tax or other legal purposes. Armed services members may utilize a temporary on-base billeting facility as the address for proof of residency.

State of Arizona

Affidavit of Shared Residence

Student Name

Parent/Legal Guardian Name

School Name

Name of Arizona Resident

School District or Charter Holder in Affidavit of Shared Residence

Person who resides with me

Location of my residence

I submit with this document a copy of one of the following verifiable documents, which shows my name and residence address as my primary residence in Arizona:

Valid Arizona driver’s license, Arizona identification card or motor vehicle registration

Real estate deed or mortgage documents

Property tax bill

Residential lease or rental agreement

Water, electric, gas, cable, or phone bill

Bank or credit card statement

W-2 wage statement

Payroll stub

Certificate of tribal enrollment (506 Form) or other identification issued by a recognized Indian tribe in Arizona

Documentation from a state, tribal or federal government agency (Social Security Administration, Veteran’s Administration, Arizona Department of Economic Security)

Temporary on-base billeting facility (for military families)

Upload Signed Affidavit of Shared Residence

Printed Name of Affiant

Signature of Affiant

Clear

Official Notice of Pupil Withdrawal Form

Student's Legal Last Name

Student's Legal First Name

Student's Legal Middle Name

Sr/Jr/2nd/3rd

State Student ID

School Student ID

Student Grade Level

Student Gender

Male

Female

Date of birth

Primary Witdrawal Type *

WD Demoted to the previous grade level during the current school year

WK Transferred to another calendar track to UE to KG/KG to UE status within the same school

WP Promoted to the next grade level during the current school year

W1/S1 Transferred to another school in state

S99 Student transferred to another school within this district during summer

W21/S21 Transferred to attend school out of state

W22/S22 Transferred to atetnd school in another country

W2/S2 Withdrawal due to chronic illness

W3/S3 Expelled/long-term suspension

W4/S4 Status unknown or attendance record showing 10 consecutive days of unexcused abscense

W41/S41 Student withdrawn by parent/legal guardian and school is waiting documentation

W5/S5 16 and older dropout; no intention of completing of neccesary requirements for diploma

W51/S51 Under 16 withdrawal;discontinuing education with qualifying documentation

W6/S6 Age out (Older than 21 years of age or younger than 6 years of age))

W7/S7 Met all high school graduation requirements and awarded diploma

W8/S8 Deceased

W9/S9 Transfer to be home taught

W10/S10 Transferred to a state detention or correctional facility

W11/S11 Withdrawal to obtain GED

W12/S12 Transfer to vocational or technical school which does not award HS diploma

W13/S13 Completed high school and is NOT expected to reenroll except in JTED

W14 Met all requirements but not awarded HCD;continuing in high school

W15 Met all requirements for Grand Canyon Diploma and awarded diploma

W17/S17 Received GCD;no longer enrolled full-time in AZ public university

W18/S18 Received GCD;no longer enrolled full-time in AZ public community college

W19/S19 Eligible for GCD; student is no longer enrolled in a full-time CTE program

W20/S20 Awarded GCD;post GCD participation unknown or ineligible

Additional Withdrawal Reason

WR1 School identified for federal school improvement

WR2 school identified as persistently dangerous

Individual transfer option WR3 (victim of a violent crime)

WR4 Pregnancy / Biological father of a child

(Optional) Select one of the following only if applicable

¹ In accordance with No Child Left Behind and State Board of Education Policy² In accordance with A.R.S. §15-1042(H)

Note for WR1 and WR2 If a school does not have this designation, or if a student transfers to another school with the same designation, then this withdrawal reason is invalid

Data in SMS Added by: (initials)

Date Added Today

Last Day of Attendance or Summer Withdrawal Date

Student Signature

Clear

Parent/Guardian Signature

Clear

Date

School Name

District / Charter ID#

School ID#

Withdrawal Code (Based on 10a)

Withdrawal Code Update (when applicable)

School Official Signature

Clear

Date

Signature for Withdrawal Code Update (when applicable)

Clear

Date

Note: If parent or guardian is unable to sign this form, the school district should indicate the reason the signature was not obtainable in this space

SPED Check all that apply

ED-P

MDSSI

MIID

MOID

OHI

P-SD

SID

SLD

SLI

TBI

AZELLA Information

Most Recent Assessment Date

Most Recent Overall Proficiency Level

EL Program Information

Was student receiving EL services in the current fiscal year?

Yes

Program Type

Was student withdrawn from EL Service in the current fiscal year

by parent request?

Yes

due to IEP team decision?

Yes

Note: If your district/charter administered an AZELLA test to this student, please attach a copy of the student’s most recent AZELLA Student Report.

Arizona Student Residency Questionnarie

Information contained on this form is confidential and used to determine whether a child or youth meets the definition of homeless under the McKinney-Vento Act. The Education for Homeless Children and Youth (EHCY) program as authorized under Title VII-B of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11431 et seq.). Please note, false claims about living situations may affect enrollment.

Today's Date

Name of individual completing this form

Your Email Address

Your telephone number:

Last School attended

Student name:

Birth date:

Current grade

Do you have additional children attending school in our district?

Yes

Do you have children of the preschool age?

Yes

Address of where the student slept last night

Is this address based on a temporary living arrangement due to the loss of housing?

Yes

(Examples: sharing the housing with others due to economic hardship or similar reason; hotel/motel; shelter; transitional housing; car; park; campsite; and inadequate housing, including no running water, electricity, or adequate space)

NOTE: If you checked “No” to the temporary living arrangement, you may STOP here. If you checked “Yes”, please continue to the next section

Name of the parent/guardian/adult caring for the student

Relationship to the student:

If the address you provided in section A is based on a temporary living arrangement, is it due to loss of housing or economic hardship?

Yes

Please select in each box that best describes where the student sleeps at night.

In a place that does not have windows, doors, running water, heat, electricity, or overcrowded

Staying with a friend or relative because of loss of housing, economic hardship, or similar reason (Example: eviction, foreclosure, fire, flood, lost job, divorce, domestic violence, kicked out by parents, ran away from home)

In a shelter/transitional housing program (name of agency):

In an unsheltered location (e.g. tent, vehicle, abandoned building, streets, campground, park, bus/train station, or similar place)

In a hotel/motel (name of hotel/motel & address)

With an adult that is not a parent or court appointed legal guardian

Alone, not in the care of a parent or court appointed legal guardian

None of the above (Please explain):

What date did you begin staying here? (Option 2)

Name of Agency (Option 3)

What date did you begin staying here? (Option 3)

Provide the main cross streets of the unsheltered location (Option 4)

Name of the hotel or motel (Option 5)

What date did you begin staying here? (Option 5)

Explain (Option 8)

The following signature certifies that the information provided above is accurate. False claims about living situations may affect enrollment

Date of Parent/Legal guardian/Caregiver/Student Parent/Legal guardian/Caregiver/Student

Signature of Person Providing Information Parent/Legal guardian/Caregiver/Student Parent/Legal guardian/Caregiver/Student

Clear

For School Use Only

Please note, the student’s cumulative file should not include a copy of this form. Do not make copies of this form.

Name of school site personnel who enrolled the student

Please check the housing types that apply

Sheltered

Double-up

Homeless/FEMA/Below standard

Hotel/Motel

Unaccompanied youth:

Yes

Transportation to school of origin needed

Yes

The Educational Rights of

Homeless Children and Youths

The LEA shall provide an educational environment that treats all students with dignity and respect. Every student experiencing homelessness shall have access to the same free and appropriate educational opportunities as students who are not homeless. This commitment to the educational rights of children, youth, and unaccompanied youth experiencing homelessness applies to all services, programs, and activities provided or made available by the LEA.

McKinney-Vento Definition of Homeless

The term “homeless children and youth”— means individuals who lack a fixed, regular, and adequate nighttime residence [42 U.S.C. § 11434a(2)]

To remove educational barriers for children and youths experiencing homelessness, the McKinney-Vento Homeless Assistance Act mandates the following:

Immediate Enrollment: Documentation and immunization records cannot serve as a barrier to the enrollment in school [42 U.S.C. §11432(g)(3)(C)]

School Selection and Maintained Enrollment: McKinney-Vento eligible students have a right to select from the options outlined below. Students may remain enrolled in their selected schools for the duration of homelessness, and until the end of the academic year upon which they are permanently housed or enroll the child or youth in any public school that non-homeless students who live in the attendance area in which the child or youth is living are eligible to attend [42 U.S.C. §§11432(g)(3)(A); (g)(3)(B); (g)(3)(I)(i)].

Transportation Services: McKinney-Vento eligible students attending their School of Origin have a right to transportation to and from the School of Origin [42 U.S.C. §11432(g)(1)(J)(iii)].

Participation in Programs: McKinney-Vento eligible students are guaranteed the right to services comparable to services offered to other students in the school [42 U.S.C. §§11432(g)(4); (g)(6)(iii)].

Access to Extracurricular Activities: Removal of barriers to accessing academic and extracurricular activities for homeless students who meet relevant eligibility criteria [42 U.S.C. §11432(g)(1)(F)(iii)].

Dispute Resolution: If you disagree with school officials about enrollment, transportation, or fair treatment of a homeless child or youth, you may file a dispute with the school district by contacting the McKinney-Vento Homeless Liaison within seven (7) business days of receiving the written eligibility determination notification [42 U.S.C. §11432(g)(3)(E)].

Appointment of a McKinney-Vento Homeless Liaison: The McKinney-Vento Homeless Assistance Act mandates the appointment of a local Homeless Liaison in every school district or local education agency (LEA) to ensure that homeless children and youth are enrolled in and have a full and equal opportunity to succeed in school [42 U.S.C. §§11432(g)(1)(J)(ii); (g)(6)(A)].

For more information, refer to Arizona Department of Education Homeless Education Program, 42 USC CHAPTER 119, SUBCHAPTER VI, Part B: Education for Homeless Children and Youths, and the Arizona ESEA Consolidated State Plan. You may also contact:

Arizona Department of Education

Office of English Language Acquisition Services

Survey on Language Spoken at Home

The school uses the responses to this Home Language Survey (HLS) to provide the most appropriate educational programs and services for the student. The answers below will determine whether a student will take the Arizona English Language Learner Evaluation (AZELLA). Please answer each of the three questions as accurately as possible. If you need to correct any of your answers, this must be done before the student takes the AZELLA test.

What language do people speak at home most of the time? *

What language does the student speak most of the time? *

What language did the student speak or understand first? *

Student's Name *

Identification Number *

SSID *

Student's Date of birth *

Date *

Signature of Parent/Guardian *

Clear

District or Charter *

School *

Upload Signed Home Language Survey

Please provide a copy of the Home Language Survey to the EL Coordinator/Main Contact on site.

In AzEDS, please enter all three HLS responses.

Questions in accordance with (R7-2-306(B)(1),(2)(a-c) of the Arizona Administrative Code. (Revised 05-2023)

1535 West Jefferson Street • Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas

Caregiver Authorization Affidavit

Student Information

Name of minor student: *

Date of birth of the minor *

Last school or district the student attended *

Tutor/Caregiver Information

Name of Caregiver *

Date of birth of the caregiver *

Home address: *

Caregiver Email *

Caregiver Number *

General Information

Select an option and provide additional information if available

The student stays at my private residence, as indicated above.

The student is staying at the following address

Student Address *

Check the appropriate options

Although I currently assist in the care of the minor student, I do not wish to help school officials make decisions related to education.

I have notified the minor's parents or other legal guardians of my intention to assist those responsible for the educational center in making educational decisions in the best interest of the student, and I have not received any objections. Please provide the parents' names and phone numbers.

I am unable to contact the parents or legal guardians.

Date General Information *

Signature of Guardian/Caregiver *

Clear

Upload Birth Certificate

Upload Immunization Records

Upload Withdrawal Form

Date General Information II *

Signature of Parent *

Clear

Tucson International AcademyEnrollment / Registration 2025-2026

Registration Form: Please ensure that the student's information and address are completely filled out.

Student Information

Family Information

Brothers and Sisters

Your answers to these questions will determine whether your child's English language proficiency will be assessed

Arizona Department of Education

Arizona Residency Documentation Form

State of Arizona

Affidavit of Shared Residence

Official Notice of Pupil Withdrawal Form

AZELLA Information

EL Program Information

Note: If your district/charter administered an AZELLA test to this student, please attach a copy of the student’s most recent AZELLA Student Report.

Arizona Student Residency Questionnarie

NOTE: If you checked “No” to the temporary living arrangement, you may STOP here. If you checked “Yes”, please continue to the next section

The following signature certifies that the information provided above is accurate. False claims about living situations may affect enrollment

For School Use Only

Please note, the student’s cumulative file should not include a copy of this form. Do not make copies of this form.

The Educational Rights of

Homeless Children and Youths

McKinney-Vento Definition of Homeless

Arizona Department of Education

Office of English Language Acquisition Services

Survey on Language Spoken at Home

Caregiver Authorization Affidavit

Student Information

Tutor/Caregiver Information

General Information

Tucson International Academy
Enrollment / Registration 2025-2026