Application for Admission of Non-Resident Student
What is your reason for wanting to attend USD 377? *
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Student's First Name (1): *
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Student's Last Name (1): *
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Student's Grade (1): *
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Student's Attendance Center (1): *
Has student previously attended USD 377 (1): *
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Dates Previously attended USD 377 (1):
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Student's First Name (2):
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Student's Last Name (2):
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Student's Grade (2):
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Student's Attendance Center (2):
Has student previously attended USD 377 (2):
Dates Previously attended USD 377 (2):
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Student's First Name (3):
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Student's Last Name (3):
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Student's Grade (3):
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Student's Attendance Center (3):
Has student previously attended USD 377 (3):
Dates Previously attended USD 377 (3):
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Student's First Name (4):
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Student's Last Name (4):
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Student's Grade (4):
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Student's Attendance Center (4):
Has student previously attended USD 377 (4):
Dates Previously attended USD 377 (4):
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Student's First Name (5):
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Student's Last Name (5):
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Student's Grade (5):
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Student's Attendance Center (5):
Has student previously attended USD 377 (5):
Dates Previously attended USD 377 (5):
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Your current street address: *
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City: *
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State: *
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Zip Code: *
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Home Phone:
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Cell Phone:
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E-mail:
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School District of Residence Name and Number: *
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Previous school City & State: *
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Administrator of previous school: *
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Digital Signature: *
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