Admission App 2015-2016 Returning

IQRA ACADEMY OF VIRGINIA
ADMISSION FORM – RETURNING STUDENTS
School Year 2015-2016
New and Returning Student Application forms submitted by May 29th, 2015,
with the necessary paperwork and fees ($150 deposit per child) will receive a $50
discount (per child) on tuition for September 2015.
RETURNING STUDENT(S)*
Last Name
First Name
1.
__________________________
__________________________
2.
__________________________
__________________________
3.
__________________________
__________________________
*New students must complete the complete Admission Form.
PARENT/GUARDIAN CONTACT INFORMATION
Please REVIEW your child’s current information in QuickSchools. Contact the office if you need help
accessing your student’s record in the QuickSchools online portal. If any CHANGES are required, note below
so the data can be corrected.
Indicate which data in QuickSchools is to be updated.
 Address
 Home Phone #
 Father Work #
 Father Cell #
 Mother Work #
 Mother Cell #
 Father e-mail
 Mother e-mail
 Medical: ______________________
 Other: ________________________
Enter only the NEW information below to be changed. All other information will remain as is.
_________________________________________________________________________
_________________________________________________________________________
FOR OFFICE USE ONLY:
 Enrollment
 QuickSchools Online
 E-mail
 Quickbooks
 Call-em-all
 Other:
____________
P.O. Box 13103, 6900 Carnation St., Richmond, VA 23225
Tel: (804) 330-4888
Fax: 804-330-4889
e-mail: [email protected]
www.iqrava.org
(Rev. 3/23/15)
IQRA ACADEMY OF VIRGINIA
I have included the following:
Deposits and Fees:
 $150
Tuition Deposit as part of September Tuition, due with application and enrollment contract
(fully refundable if application is withdrawn by June 1, 2015)







Other:

$ 125
$ 275
$ 75
$ 100
$ 100
$ 65
$ 10
Book/Materials Fee (Pre-K Program)
or Books/Materials Fee ( Elementary Program)
Activity Fee (Pre-K Program)
or Activity Fee (Elementary Program)
Technology Fee (all students)
End of Year Testing Fee ( Elementary Program)
IPTA Fee (per family)
$ 25
Extended Hours Deposit (due with application and enrollment contract)
Submit completed admission application forms along with the following items:
 Updated immunization records of the minimum vaccinations required by the State of Virginia (see section # 2.2)
Iqra Academy of Virginia does not discriminate on the basis of religion, gender, race, color, handicapping condition, national/ethnic origin or citizenship
status in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered
programs. Parents of any religion, understanding that integrated Islamic education is an essential part of the Iqra curriculum, may register their
children.
-----------------------------------------------------------------------------------------------------------------------------------------For Administrative Use Only:
Date Received:
__________
Eligible for Sept. $50 Discount? _____
Amount Enclosed: $ ________
Check Number:
# ________
Remarks:
P.O. Box 13103, 6900 Carnation St., Richmond, VA 23225
Tel: (804) 330-4888
Fax: 804-330-4889
e-mail: [email protected]
www.iqrava.org
(Rev. 3/23/15)
IQRA ACADEMY OF VIRGINIA
Enrollment Contract
Upon enrollment, I agree to review and abide by all contract and handbook
policies including those found in the handbook that are not listed on this contract.
I understand that failure to abide by these rules will result in the dismissal of my
child from Iqra Academy.
Tuition
Tuition for each child attending Iqra Academy during the 2015-2016 academic year may be paid in one payment before
school begins (at a 10% discount) or in 10 monthly installments. A 20% discount is provided for additional children from
the same family. Please note that a full payment is due each month, even though school ends in mid-June (the annual tuition
is divided into 10 equal payments). All monthly tuition payments are due on the first of the month. Failure to make a
prompt payment will result in late fees and may lead to possible suspension, expulsion, or legal action.

A $35.00 late charge will be added if payment is not made by the 7th of each month. A $45.00 penalty is applied
to all returned checks.

Student will be indefinitely suspended if tuition payment is not made by the last day of each month; and student
may not attend school until full payment has been made.

The student will not be admitted to the school if there is outstanding tuition delinquency from a previous
semester or academic year. Before being readmitted, the student must clear one hundred percent of the balance.
In addition, school will refuse to release academic records, transcripts and teacher references to other schools, or
will not permit the child to attend, re-enroll, or move to a different level.

If a family withdraws their child from Iqra for a temporary period of time within the academic school year,
including the last 2-3 weeks, the parents remain responsible for tuition payments during that time period.
Fees

It is necessary to rent the prescribed textbooks and workbooks from Iqra Academy. The yearly textbook and
materials fee (non-refundable) will be based upon the student’s grade level, $125 for Pre-K students and $275 for
Kindergarten and older students. The textbook fees are due by the first day of the school year. Please encourage
your child to develop a sense of responsibility in the care and handling of books, materials, and other school
equipment and supplies. At the end of each semester, fines may be assessed for loss or damage.

Activity fee for PK is $ 75.00 and for KG – 5th Grade is $ 100.00 annually. These fees will cover the costs of all
field trips, art competition, science fair, activity day, etc.

Extended Hours are available upon request before and after school hours. If you plan for your child to be in the
extended hours program on a daily basis, the fee should be paid at the beginning of the month along with the
tuition. Arrangements must be made in advance to ensure proper staff scheduling.

Late Departure: A fee of $ 10.00 per hour /partial hour will be due for students who are in/remain at school after
4:00 pm. The families who pay for this in advance with tuition shall pay $100.00 for the whole month. Parents
must call the school office if they cannot pick up their children on time. If your child is not in the Extended Hours
program, the fee should be paid at the time of pick-up.
P.O. Box 13103, 6900 Carnation St., Richmond, VA 23225
Tel: (804) 330-4888
Fax: 804-330-4889
e-mail: [email protected]
www.iqrava.org
(Rev. 3/23/15)
IQRA ACADEMY OF VIRGINIA
Enrollment Contract
I, the undersigned, acknowledge that I am legally responsible for the payment of
all tuition and fees incurred by the student and parents listed above.
I agree to adhere to all responsibilities, procedures, and policies as outlined in the
school handbook and the tuition policies published each school year.
I also acknowledge that Iqra Academy reserves the right to refuse to release school
transcripts and/or achievement and standardized test results of withdrawing
students until all tuition payments, fees, and fines are settled, and all books are
returned. By signing below I am acknowledging that I am accepting the terms of
registration in its entirety.
Student Name(s)
Last Name
First Name
1.
__________________________
__________________________
2.
__________________________
__________________________
3.
__________________________
__________________________
_________________________________________
Parent’s Signature
________________
Date
P.O. Box 13103, 6900 Carnation St., Richmond, VA 23225
Tel: (804) 330-4888
Fax: 804-330-4889
e-mail: [email protected]
www.iqrava.org
(Rev. 3/23/15)
IQRA ACADEMY OF VIRGINIA
Withdrawal Request Form
NOTE: Please return this form to the Iqra office if your child is not returning to Iqra
for the next school year. All Tuition & Fees must be paid in full before student
records can be released.
Today’s Date: ____________
Student’s Last Name
__________________
__________________
__________________
Effective date of student withdrawal: ___________
Student’s First Name
__________________
__________________
__________________
REASON for withdrawal:
 Transfer to another School
 Financial
 Moving out of town
 Other: ________________________
Please provide any additional comments: ___________________________________________
______________________________________________________________________________
School Transferring to: __________________________________________________________
Note: the new school must send a request in order for the records to be provided to them.
Our fax # is 804-330-4889.
CHANGE/CONFIRM Address & Contact Info
New Home Address:
____________________________________________
City/State: __________________________ Zip:
______________ New Home Phone: __________________
Mother Cell: _______________________________ Father Cell: ______________________
Mother e-mail: _____________________________ Father e-mail: ____________________
Parent’s Name (print)
Parent’s Signature
_________________________________
__________________________________
FOR OFFICE USE ONLY
Financial Clearance:
 Tuition paid in full
 Transportation fees  Other fees paid in full (lunch, yearbook, etc.)
 Textbooks returned to teachers / Workbooks given to student on last day
 Homeroom  Qur’an  Arabic  Islamic Studies
Updated Records/Database:
 Enrollment
 Quickbooks
 Quick Schools Online
 E-mail
 Treering Yearbooks
 Call-em-all
 Emergency List
 Teachers
 Student Retention
 Facebook Alumni
 Other
P.O. Box 13103, 6900 Carnation St., Richmond, VA 23225
Tel: (804) 330-4888
Fax: 804-330-4889
e-mail: [email protected]
www.iqrava.org
(Rev. 3/23/15)