Complete the form below and submit your application 1 Student Details2 First Parent or Guardian Details3 Additional Family Details4 Additional Information Student DetailsName* First Middle Last Which school are you applying to?*Please selectNova Pioneer Primary - Athi RiverNova Pioneer Primary - Tatu CityNova Pioneer Boys Secondary - Tatu CityNova Pioneer Girls Secondary - Tatu CityNova Pioneer Boys Secondary - EldoretNova Pioneer Girls Secondary - EldoretCareersWhich level of school are you applying to?*Please selectPrimarySecondaryClick here to view our careers pageWhich Class/Grade or Form are you applying to?*Please selectPlay GroupPreprimary 1Preprimary 2Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Form 1Form 2Form 3Form 4Play Group should be 3 years by March 2020; Preprimary 1 should be 4 years by March 2020; Preprimary 2 should be 5 years March 2020For which year would you like to enrol?*Please select202120222023What term would you like to join in?*Choose a termTerm 1Term 2Term 3Date of Birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleStudent's Current School* First Parent DetailsFirst Parent Name* First Last First Parent Email* First Parent Work/Alternative email First Parent Mobile Number*First Parent Alternative Mobile NumberFirst Parent Physical Address*First Parent/Guardian is the*MotherFatherGuardianTeacher Second Parent DetailsDo you wish to input information for a Second Parent or guardian?YesNoSecond Parent Name* First Last Second Parent Email* Second Parent Work/Alternative email* Second Parent Mobile Number*Second Parent Alternative Mobile Number*Second Parent Physical Address*Second Parent/Guardian is the*MotherFatherGuardianTeacherSibling InformationDo you have another child currently enrolled at any Nova Pioneer School?*YesNoPlease enter the Student ID of sibling(s) currently enrolled at Nova PioneerDoes the student have any siblings?*Please selectNo123First Sibling NameFirst Sibling current schoolFirst Sibling Date of Birth Date Format: MM slash DD slash YYYY First Sibling GenderMaleFemaleSecond sibling NameSecond sibling current schoolSecond Sibling Date of Birth Date Format: MM slash DD slash YYYY Second Sibling GenderMaleFemaleThird sibling nameThird sibling current schoolThird Sibling Date of Birth Date Format: MM slash DD slash YYYY Third Sibling GenderMaleFemale Additional InformationWill you require transport for your child to and from the school?YesNoWhat is the name of the estate where the pick up will happen?Has your child ever had any disciplinary issues?YesNoPlease provide more details about the disciplinary issue?K.C.P.E Score ( Put 0 if your child has not sat for K.C.P.E)*What interests you about Nova Pioneer?How did you hear about us?*Please selectReferred by a current Nova Pioneer ParentReferred by a current Nova Pioneer StudentReferred at current school/by teacher at current schoolReferred by Friend/Relative(who is not currently part of the Nova Pioneer community)FlyersBillboardNova Pioneer representative/staffSocial MediaNewspaperInternet SearchRadioTelevisionDuring an eventEmailI drove past the schoolNova Pioneer school busFull Name of Nova Pioneer Parent Who Referred YouPhone Number Of Parent Who Referred YouName of Nova Pioneer StudentName of schoolName of friend/relativeName of Nova Pioneer StaffWhich social media?FacebookWhatsappTwitterInstagramYoutubeWhich newspaper?How did you find us on the internet?I used GoogleI did in-depth researchI saw an Ad while browsingWhich Radio Station?Where did you see the advert?Which event?Event at my estateEvent at my schoolEvent at my churchWhich TV show?What other way did you hear about us?Would you like to select a date for you and your child to attend a virtual open day??*Please selectNo, I'll decide laterYes, I'll decide right nowPlease Select A Date For You And Your Child To Attend The Next Virtual Open Day For Tatu or Eldoret Secondary School29th January 202120th February 202126th March 2021Please Select A Date For You And Your Child To Attend The Next Virtual Open Day For Tatu Primary14th January 202130th January 202112th February 202127th Februrary 202112th March 202127th March 2021Please Select A Date For You And Your Child To Attend The Next Virtual Open Day For Athi River Primary14th January 202130th January 202112th February 202127th February 202112th March 202127th March 2021