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Brooklyn Academy HS - New Student Intake
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Email *
Student Name *
Date of Birth *
MM
/
DD
/
YYYY
Student OSIS Number *
Guardian Name/Relationship *
Home Phone *
Mobile Phone *
Student Email Address *
Street Address *
Apartment *
Borough *
Zip Code *
what year did student begin 9th grade *
Previous High Schools attended *
Number of credits *
Regents passed
Yes
No
ELA
Algebra
Global History
US History
Living Environment
Geometry
Earth Sci
Check all that apply *
Required
Primary Home Language *
Does the student have a health condition? Please list all *
Have You been suspended?  Please list the reason(s) why. *
Does the student have any children? *
If so, are you interested in the on-site LYFE program for childcare? *
Who referred you to Brooklyn Academy High School? *
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