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* Indicates required question
Student's first name
*
Your answer
Student's last name
*
Your answer
CPS ID
*
Your answer
Student's birthdate
*
MM
/
DD
/
YYYY
Current Elementary School
Your answer
Program
*
Senn Neighborhood/Design
Senn IB Diploma Prep
Senn Arts Dance
Senn Arts Music
Senn Arts Theatre
Senn Arts Visual Art
Parent/guardian's first name
*
Your answer
Parent/guardian's last name
*
Your answer
Parent/guardian's email address
*
Your answer
Student's email address
*
Your answer
Best contact phone number
*
(Area code) + number
Your answer
Second contact phone number
if applicable
Your answer
Current mailing address
*
Your answer
Apartment/unit #
if applicable
Your answer
Zip code
*
Your answer
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