SMA Application for Admission 2018-2019
Email address *
Verification of Email: A copy of the information entered on this form will be sent to the email address listed above. It will also be the primary email address used for communication about your child's application. Please verify that the email address is correct, secure, and belongs to the applicant's parent or legal guardian. Emails sent to this address may contain sensitive information. *
Section 1: Student Information
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Student's Social Security Number
Your answer
Student's Race *
Student's Gender *
Date of Birth (mm/dd/yyyy) *
Your answer
Next Year's Grade Level (2018-2019 School Year) *
Is the applicant currently enrolled in a PUBLIC school in Pointe Coupee Parish? *
Current School *
Current GPA (from most recent report card) *
Your answer
Physical Address *
Street Address only (Enter City and Zip Code Below)
Your answer
City *
Your answer
Zip Code *
Your answer
Is your mailing address the same as your physical address? *
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