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 did your student attend last year? *
Your answer
What school district do you live in? *
Your answer
What is your student's grade level for 2017-18? *
Does your student have an IEP or current learning plan? *
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