Prague Trip Application
Due: TBD
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Name *
Current Grade Level *
Semester 1 GPA (Unweighted) *
Have you been involved in any disciplinary issues while at La Lumiere? If so, please explain the nature of the incident(s). *
Student Email Address *
Parent / Guardian Email Address *
Have you ever traveled abroad before? If so, what countries have you visited? *
Why are you interested in this trip? (1 - 2 paragraphs) *
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