Urban Pathways 6-12 Student Application
This is an application. Completion of this form is not a guarantee of acceptance. In the event there are more applications received than space, the school will hold a lottery during a public meeting.
Student First Name *
Student Last Name *
Student Middle Initial
Birth Date *
MM
/
DD
/
YYYY
Street Address
City
State
Zip Code
Current School Attending
Current Grade Level
Clear selection
Applying for Grade Level *
Applying For School Year
Clear selection
Mother/Guardian's Name
Mother/Guardian's email
Mother Guardian's phone number
Father/Guardian's name
Father/Guardian's email address
Father/Guardian's phone number
Are siblings attending UPCS 6-12?
Clear selection
Names of Siblings attending UPCS 6-12
With whom does the student live? *
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