Echelon Academy Admissions Application
Name of Applicant
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Applicant Address
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Applying for Grade
Present Grade
Beginning Month with Echelon
Parent 1 - Full Name
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Parent 1 - Home Address
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Parent 1 - Phone Number
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Parent 1 - Email Address
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Parent 1 - Occupation
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Parent 1 - Name of Employer
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Parent 1 - Work Phone
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Parent 1 - Colleges Attended
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Parent 2 - Full Name
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Parent 2 - Home Address (if different)
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Parent 2 - Phone Number
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Parent 2 - Email Address
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Parent 2 - Occupation
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Parent 2 - Name of Employer
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Parent 2 - Work Phone
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Parent 2 - College(s) Attended
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My students parents are
Applicant lives with
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Name of applicant's legal guardian
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Legal guardian's address
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Legal guardian's telephone
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Applicant's Telephone
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Applicant's Birthday
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Applicant Gender
Country(ies) in which citizenship is held
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Siblings
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Name of Present/Last School
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Principal or Head of School
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Current School Address
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Current School Telephone
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Previous Schools
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