New Roads School
Thank you for your interest in New Roads School!
Please note: This form is not an application. To apply to New Roads, please visit our website at
www.newroads.org
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Applicant Information
Prospective Student 1 First Name
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Prospective Student 1 Last Name
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Preferred Name
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Date of Birth
*
MM
/
DD
/
YYYY
Prospective Student 2 First Name
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Prospective Student 2 Last Name
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Date of Birth
MM
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DD
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YYYY
Entering Year
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Choose
2020-2021
2021-2022
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Entering Grade(s):
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Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Current School(s)
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Family Information:
Parent/Guardian 1 First Name:
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Your answer
Parent/Guardian 1 Last Name:
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Your answer
Parent/Guardian 2 First Name:
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Parent/Guardian 2 Last Name:
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Address line 1
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Address line 2
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City
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Zip code
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Who lives at this address?
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Applicant(s)
Parent/Guardian 1
Parent/Guardian 2
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Email 1:
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Your answer
Email 2:
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Phone Number
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Best number to reach you
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How did you hear about New Roads?
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A Better Chance (ABC)
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Alliance
Consultant/Relocation Specialist
Current School (Teacher/Administrator)
Elementary School Fair
Friend/Family Member
LAAIS (Los Angeles Area Independent Schools) Website
New Roads Family
New Roads Website
Online Search
Secondary School Fair
YES Scholars
Other
Area(s) of Interest
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Art
Athletics
Debate
Dance
Engineering/Robotics
Film
Mathematics
Music
Science
Theater
Writing
Other:
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Additional Information, Questions or Comments?
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