Student Admission Form

Step 1 of 2

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Student Full Name*
First Middle Last Suffix
Home Phone
Home Address*
Date of Birth*
Country of Birth*
Sex*
- Male
- Female
Citizenship*

If the student has multiple citizenships, please add them as needed.
Date of Intended Entry to ANS*
Former Applicant*
- New Student
- Previously Applied to / Attended ANS
Please indicate whether your child is a new student or has previously applied to or attended ANS
Previously Attended Grades
Please mark the grades your child has previously attended to at ANS. Mark all that apply.
Applying Grade*
Language Proficiency
First Language*
First Language Proficiency*
- Understands
- Speaks
- Reads
- Writes
Second Language
Second Language Proficiency
- Understands
- Speaks
- Reads
- Writes
Third Language
Third Language Proficiency
- Understands
- Speaks
- Reads
- Writes
Language Spoken at Home*
Father's First Language*
Mother's First Language*
Learning Support
Additional Learning Support Needs
- Speech
- Reading
- Writing
- Behavior
- Autism
- Math
- Sensory Processing
Students with additional learning support needs, please check the areas that apply.
Previous Documented Plan*
- Yes
- No
Has any previous education provider prepared a documented plan to support the student's additional learning needs?
Educational Information
Previous Schooling*
- Yes
- No
Please indicate if your child has received previous schooling.
Name of Previous School
Location of Previous School
Early Learning Students
- Washing Hands
- Dressing
- Bathroom Use
Demonstrates independence in personal care, such as:
Nicaraguan Diploma for Secondary School Applicants
- Yes
- No
In addition to the American Nicaraguan School High School Diploma, my child will opt to earn the Diploma de Bachiller en Ciencias y Letras granted by the Nicaraguan Ministry of Education, which is required for higher education in Nicaragua, by countries in Latin America, and some countries in Europe and Asia.

Family Information
Siblings at ANS
Name At ANS Applying to ANS Grade

Siblings studying at ANS or applying to enter ANS
Student Lives With*
- Both parents
- Mother
- Father
- Guardian
Please specify whether student lives with both parents or mark the option that applies.
Child Custody Terms
If parents are separated, divorced or either one has re-married, please specify child custody terms. Legal documentation may be required to support this information.
Parent or Guardian Information
Male Parental Figure
Relationship*
- Father
- Male Guardian
Name*
First Middle Last Suffix
Citizenship*
ID Type*
- Nicaraguan ID
- Nicaraguan Residency
- Passport
Nicaraguan ID
Mobile Phone
Email
Work Place
Work Phone
ANS Alumnus*
- Yes
- No
Has this person studied at ANS?
Attended ANS For
Please enter a number from 0 to 13.
Please enter the amount of years this person studied at ANS
Class of
Please enter a number from 1944 to 2021.
Please enter the class generation this person belongs to
Female Parental Figure
Relationship*
- Mother
- Female Guardian
Name*
First Middle Last Suffix
Citizenship*
ID Type*
- Nicaraguan ID
- Nicaraguan Residency
- Passport
Nicaraguan ID
Mobile Phone
Email
Work Place
Work Phone
ANS Alumna*
- Yes
- No
Has this person studied at ANS?
Attended ANS For
Please enter a number from 0 to 13.
Please enter the amount of years this person studied at ANS
Class of
Please enter a number from 1944 to 2021.
Please enter the class generation this person belongs to
Emergency Contacts
Emergency Contacts*
Full Name Relationship with Student Mobile Phone Home Phone Work Phone

Please provide up to a maximum of 3 emergency contacts.
Billing Information
Tuition Payed By*
- Father
- Mother
- Other
- ANS Faculty Scholarship
Person Responsible of Tuition

Please indicate who will be paying for the tuition
Primary Household Contact Name*
Priamry Email Address
This email address will be taken as a primary source of contact for the student's household. In addition to billing purposes, it will be used for ANS community communications and during Board of Directors elections.
Student Documentation
Please provide the required and additional documentation for the student in the drop box below.
Student Documentation Upload

Drop files here or

Accepted file types: doc, docx, pdf, jpg, jpeg, png, bmp, gif, tiff, Max. file size: 64 MB.

Please note that, for security reasons, we only accept Word documents, PDF documents, and image files. Maximum file size is 64 MiB.
Acceptance*
I accept
I certify that all information provided on this application is complete and accurate to the best of my knowledge. I understand that providing false information may interfere with my child's possibility of admission or continued enrollment.

Mission

The mission of the American Nicaraguan School is to provide an innovative and dynamic education so that our students realize their full leadership potential, achieve academic excellence, and make meaningful and ethical contributions to a global society.

American Nicaraguan School

PO Box 2670
Lomas de Monserrat, Managua, Nicaragua
Tel: (505)-2252-73(10-12)

USA Mailing Address:
NicaBox 192,
PO Box 52-7444, Miami, FL
33152-7444
USA Tel: 786-269-2117

Name	At ANS	Applying to ANS	Grade

Full Name	Relationship with Student	Mobile Phone	Home Phone	Work Phone

Student Admission Form

Step 1 of 2

Language Proficiency

Learning Support

Educational Information

Family Information

Parent or Guardian Information

Male Parental Figure

Female Parental Figure

Emergency Contacts

Billing Information

Student Documentation

Mission

American Nicaraguan School