2019-2020 Transfer to Rise Up Request Form
Email address *
Confirm PARENT EMAIL ADDRESS (This is important for future contact regarding enrollment) *
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Student First Name *
Your answer
Student Last Name *
Your answer
Student ID# *
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Address *
Your answer
Date of Birth *
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/
DD
/
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Parent First Name *
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Parent Last Name *
Your answer
Home Phone Number *
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Reason for request to transfer to Rise Up Academy *
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Current School (or last school attended) *
Required
Grade Level for School Year 18-19 *
Required
Are you a Special Education Student *
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