Skip Navigation

Request Information

Thank you for your interest in Tulsa Adventist Academy!

Please fill out the form below and our Administration will contact you and provide the information you desire.

Please complete a separate inquiry for each student.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
  • Grade Level of Interest *
    School Year *
  • Current School
  • Does this student have an IEP?

    * Yes   No
  • Has the Applicant ever been "double promoted?"

    * Yes   No
  • Has the Applicant ever been in advanced, accelerated, or honors classes?

    * Yes   No
  • Has the Applicant ever repeated a grade?

    * Yes   No
  • Has the Applicant ever had any special additional testing or tutoring?

    * Yes   No
  • Has the Applicant ever had any clinically diagnosed learning disabilities?

    * Yes   No
  • Has the Applicant ever had any psychological test and/or counseling?

    * Yes   No
  • Has the Applicant ever been suspended or dismissed from school?

    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •