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Gary Middle College Wait list form
Student's Last Name *
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Student's First Name *
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Student's Birthday *
00/00/0000
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Gender *
Last Grade Completed *
Last School Attended *
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Home Phone Number *
000-000-0000
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Cell Number *
000-000-0000
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Email Address *
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Street Address *
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City *
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State *
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Zip *
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How did you hear about Gary Middle College-Hammond Campus? *
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Disclaimer: “ I understand that completing this form with the above information does not guarantee my child(ren) a seat at Gary Middle College. I understand that I will be contacted by the school if there is availability for my child to enroll, and then in order to complete enrollment, I will need to submit additional information. For more information or questions, please contact Nilda Murphy 219-888-7120 or nmurphy@geoacademies.org. Your waitlist application will be on file until December 31, 2018, you will have to reapply after this date for the next school year *
By initialing here I read and understand the disclaimer.
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