Beckman Catholic School Application for Admission
Please complete this application for admission and submit. Thank you!
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Today's Date
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MM
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DD
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Student's First Name
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Your answer
Student's Last Name
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Your answer
I plan to attend Beckman in 2018-2019.
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Yes
No
I am undecided and need more information. Please contact me.
Date of Birth
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MM
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Grade in 2018-2019
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Choose
7
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12
Mother's First Name
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Your answer
Mother's Last Name
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Your answer
Father's First Name
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Your answer
Father's Last Name
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Your answer
Contact Address
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Your answer
City, State
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Your answer
Zip Code
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Your answer
Parent e-mail
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Your answer
Parent Phone Number
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Your answer
Student's Current School
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Your answer
Will the student be in band?
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Yes
No
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