Online Application Submission
Prospective student's name
Your answer
Date of Birth
MM
/
DD
/
YYYY
City & State of Birth:
Your answer
Gender
What is your primary language?
Your answer
Is your student Hispanic?
Ethnicity
(Check all that apply.)
Required
Address
Your answer
City, State & Zip
Your answer
What county do you live in?
Required
Primary Phone
Example: 555-555-5555
Your answer
Is the above Phone number your:
E-Mail address
Your answer
Preferred Method of Contact
I am applying to enroll:
What school is your student currently attending?
Your answer
What school district do you live in?
Your answer
What is your student's current grade level?
Does your student have an IEP or current learning plan?
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