District Information in Phoenix, AZ

Dr. Jody Williamson

Superintendent

Tanya Brodd

Assistant Superintendent
Director of Special Services

Ronnoja Ayers

Executive Assistant
Accounts Payable

Enrollment Forms

Enrollment Form

Student Information

Last Name

First Name

Middle Name

Enrollment Application for:

Preferred Name

Student Cell:

Primary Address

City

State

Zip

Date of Birth

Current Age

Gender

Ethnicity

Place of Birth

Language Student First Learned

Primary Language used in Home

Language Most often Spoken by Student

Current School

Current Grade

Requested Enrollment (Start) Date at Pointe School

Enrollment Grade

Has the student been expelled or is the student in the process of being expelled (circle)*?

Parent/Guardian Information

Father’s Name
Lives WithLegal Custody

Street Address

City

State

Zip

Home

Cell

Email
Employer

Telephone

Fax

Mother’s Name
Lives WithLegal Custody

Street Address

City

State

Zip

Home

Cell

Email
Employer

Telephone

Fax

Are parents divorced or separated?

Name of Stepmother

Cell

Work

E-Mail

Name of Stepfather

Cell

Work

E-Mail

Siblings at a Pointe School?

Name

Grade

School

Name

Grade

School

Name

Grade

School

Name

Grade

School

Monday:	7:30 AM - 3:30 PM
Tuesday:	7:30 AM - 3:30 PM
Wednesday:	7:30 AM - 3:30 PM
Thursday:	7:30 AM - 3:30 PM
Friday:	7:30 AM - 3:30 PM
Saturday:	Closed
Sunday:	Closed