District Information in Phoenix, AZ Dr. Jody Williamson Superintendent Tanya Brodd Director of Special Services Susan Beer Executive Assistant, Accounts Payable Enrollment Forms North Pointe Canyon Pointe Pinnacle Pointe Enrollment Form Student Information Last Name First Name Middle Name Enrollment Application for:---Pinnacle Pointe AcademyCanyon Pointe AcademyNorth Pointe Academy Preferred Name Student Cell: Primary Address City State Zip Date of Birth Current Age Gender ---FemaleMale 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)*? ---YesNoUnsure 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? ---YesNo Name of Stepmother Cell Work E-Mail Name of Stepfather Cell Work E-Mail Siblings at a Pointe School? ---Yes/CurrentYes/RegisteredPrior/GraduatedNo Name Grade School ---NPPCPAPPA Name Grade School ---NPPCPAPPA Name Grade School ---NPPCPAPPA Name Grade School ---NPPCPAPPA
