2014-2015 Global Student Admissions Application

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Students Last Name *

Students First Name *

Date of Birth *

mm-dd-yy

Street Address *

City *

Zip *

Today's Date *

YYYY

Time

Has the student received services in any of the following areas? *

* If a student is selected through a lottery to attend WGH and eligible for special education, and ARD Committee will convene to determine if the current applicant's IEP can be implemented at Waxahachie Global High.

GT (Gifted and Talented)

ESL

504/Dyselxia

Special Education *

None (NA)

Other:

Current School *

Current Grade *

Other:

Person filling out form. *

Name and Relationship to Applicant.

Please send the applicant's last report card to 600 2nd Street Waxahachie TX 75165 *

Report cards can be faxed to 972.923.4738 Attention Mrs. Fryar

Expect the report card in the mail.

I will fax the report card

I will deliver a copy to the office.

Parent Information

Parent or Guardian Names *

Parent email address *

Home Phone *

Work Phone *

Cell Phone *

What is the highest level of education of the applicant's father? *

Completed College

Some College

Completed High School

Some High School

Other:

What is the highest level of education of the applicant's mother? *

Completed College

Some College

Completed High School

Some High School

Other:

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