Wait List Application - Lower Academy 2018 - 2019
Student Requirements for Admission:

• Student must be an Ohio resident at time of application and must maintain Ohio residency while enrolled.

• At the end of the 2017-2018 academic year, student must be recommended for advancement to the sixth, seventh, or eighth grade by their present school.

Student Application Guidelines:

• Applications MUST be completed in their entirety in order to be considered for admission to the Academy. Once you start the application form you must complete, there is no save feature. We recommend you review the application, type your essay responses in a word document and then copy and past them into the application form when you are ready to submit.

• Aside from the requirements listed above, an accurate and fully completed application is the only criteria for admission, subject to the need for a selection lottery (see below). The information gathered by the application will not be used to determine acceptance to the Bio-Med Science Academy, rather it is used to process necessary enrollment paperwork and to learn about the applicant prior to the start of the academic year.

• Incomplete applications may not be considered. An email notification will be sent upon receipt of the application.
This notification will indicate if the application was complete.

• The completeness of an application will be determined on a case-by-case basis and is determined at the sole discretion of the chief administrative officer of the Academy.


Wait List Applications close October 31, 2018 at 11:59 p.m. E.S.T. Applications can be submitted via Google Form.

Students will be pulled from the wait list in the order their application is received.

Questions:

• Email info@biomedscienceacademy.org

• Call 330.298.8466


Student's First Name
Your answer
Student's Middle Name
Your answer
Student's Last Name
Your answer
Student's Street Address
Your answer
Student's City
Your answer
Student's State
Your answer
Student's Zip Code
Your answer
Guardian/Parent's First Name
Your answer
Guardian/Parent's Last Name
Your answer
Guardian/Parent's Address
Your answer
Guardian/Parent 's City
Your answer
Guardian/Parent's State
Your answer
Guardian/Parent's Zip
Your answer
Guardian/Parent's Best Contact Phone number
Your answer
Guardian/Parent's email address
Your answer
Guardian/Parent's (2) First Name
Your answer
Guardian/Parent's (2) Last Name
Your answer
Guardian/Parent's (2) Street Address
Your answer
Guardian/Parent's (2) City
Your answer
Guardian/Parent's (2) State
Your answer
Guardian/Parent's (2) Zip Code
Your answer
Guardian/Parent's (2) Best Contact Phone number
Your answer
Guardian/Parent's (2) email address
Your answer
Current School Environment
Home District
Your answer
County of Residence
Your answer
Current School Building Name You Are Attending
Your answer
What is grade will you be in for the 2018-2019 school year?
Typical grades
How did you learn about Bio-Med Science Academy
What form of internet connection do you have at your home
Does your student currently receive support through an Individual Education Plan (IEP) or Section 504 Plan?
If you answered "yes" above, please select the purpose of your student's plan (check all that apply)
Description of needs (in regards to IEP and/or 504 Plan):
Your answer
Does your child currently have a sibling attending Bio-Med
If yes, Sibling name
Your answer
Does your student currently have a WEP or WAP?
Extracurricular Activities
Student's Cell Phone number
Your answer
Student's email
Your answer
Date of Birth
MM
/
DD
/
YYYY
City/State of Birth
Your answer
Gender
Ethnicity (optional)
What Language is predominantly spoken in your home
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