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ESACC Application for 2017-2018 School Year
Thank your for your interest in Excelsior Springs Area Career Center. Please complete the application in full to be considered for acceptance.
ESACC, 614 Tiger Drive, Excelsior Springs, MO 64024, 816.630.9240,
www.esaccguidance.weebly.com
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Student Information
High School
*
Please select the high school you attend. This application is for Lawson High School students. If you do not attend Lawson High School, please email
esmith@ga.essd40.com
for the correct application link.
Choose
Lawson
Grade in school for 17-18 school year.
*
What grade will you be in as of August 1, 2017?
Choose
11th grade
12th grade
Cumulative High School GPA
*
Your answer
Cumulative High School Attendance Percentage
*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Street Address
*
Your answer
City
*
Your answer
State
*
MO
Other:
Zip
*
Your answer
Contact Phone
*
Please enter best number to reach parent/guardian using 888-555-1111 format.
Your answer
Student Cell Phone
Example: 888-555-1111
Your answer
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