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New Britain High School Academies Application
Fill out the form below to become part of a New Britain High School Academy
Email address *
Which Academy are you interested in: *
Required
First Name *
Last Name *
Student ID Number *
Sex *
Home Address *
#(House Number) Street Name, City, State, Zip Code
Student Phone Number *
(___) ___ - ____
E-mail Address *
Parent/Guardian Name *
Parent/Guardian Contact (Phone number and/or email) *
Current Grade *
Required
Date of Birth *
01/01/2005
MM
/
DD
/
YYYY
Ethnicity
Advisory Room *
Shirt Size
Current or Academy Courses taken (If Applicable) *
Required
Current Academy Teacher *
Guidance Counselors Name *
Required
Please share the reason for choosing the academy you selected. Answer in 3-5 sentences. *
A copy of your responses will be emailed to the address you provided.
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