Student Application Portal To apply as a student at Bright Path Autism Academy fill the form below Application Form Ensure you fill the required sections URLThis field is for validation purposes and should be left unchanged.Student DetailName(Required) First Middle Surname Gender(Required) Male Female Other Date of Birth(Required) MM slash DD slash YYYY ReligionSelect ReligionChristianityIslamHinduismBuddhismSikhismJudaismTaoismConfucianismShintoBahá'í FaithJainismZoroastrianismWiccaDruidryShamanismAnimismScientologyRastafarianismCao DaiTenrikyoEckankarSumerian religionAncient Egyptian religionNorse paganismGreek paganismRoman paganismNative American religionsAfrican Traditional religionsI prefer not to sayAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Birth Certificate Photo (Optional)Max. file size: 10 MB. Parent or Guardian DetailsFather's Name First Middle Surname Father's Phone NumberOccupation (Optional)Mother's Name First Middle Surname Mother's Phone NumberOccupation (Optional)Parent Contact Email(Required) Emergency Contact (Optional) AddEmergency ContactName(Required) First Middle Surname Phone(Required)DECLARATIONHas your child been diagnosed with Autism?(Required) Yes No Does your child have any other disability?(Required) ADHD Visual Impairment Hearing Impairment Epilepsy or Convulsions Physical Impairment Cerebral Palsy None I consent to photographs and videos being taken of my child during their studies at Bright Path Autism Academy. I understand that these may be used by the institution for educational, marketing, and publicity purposes, including but not limited to the school’s publications, website, social media platforms, and approved third-party publications. By checking this consent, I acknowledge and agree that Bright Path Autism Academy may capture and use photographs and videos of my child for the purposes stated above.(Required) I Agree I Don’t Agree I hereby certify that the information given in this application is correct and complete to the best of my knowledge, and hereby give my permission to the admissions office to obtain any verification deemed necessary to process of my application. I further certify that all copies of official files and images uploaded become the property of Bright Path Autism Academy and will neither be forwarded to another institution nor returned to me.(Required) I AgreeIndicate How You Learnt About Bright Path Autism Academy(Required) Social Media Our Website Prospectus Exhibitions Radio Television Newspapers Friends or Referral
