Click To Join Us NowICUC_ADMIN2025-11-19T16:30:56+00:00 Join Us Now! Student Details Student First Name Student Last Name Student Email Address Student Date of Birth* Gender Select GenderFemaleMaleOther Student’s former school Parent / Guardian Information Full Name of Guardian/Parent Contact Phone Number Occupation Residential Details Residential Address Line 1 City / District Country Select CountryUgandaKenyaTanzaniaOther Enrollment Details Desired Class / Grade* Select a class (e.g., Primary 1, Senior 1)Primary 1Primary 2Primary 3Primary 4Primary 5Primary 6Primary 7 Senior 1Senior 2Senior 3Senior 4Senior 5Senior 6 Preferred Intake Term Select intake termTerm 1, 2024Term 2, 2024Term 3, 2024Term 1, 2025 General Comments (Optional) Health and Emergency Information Relevant Medical Conditions or Allergies* Emergency Contact Person (Non-Guardian)* Emergency Contact Phone Number* Required Document Uploads Birth Certificate Scan/Photo* Previous Term Report Card Declaration and Consent I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to the Terms and Conditions and Privacy Policy of Green Hill Academy. Submit Final Application Fields marked with * are required.
