Newark Public Schools Summer Program Student Application 2018
Application Deadline: May 4, 2018
Student Information
Student First Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Please select the student's t-shirt size *
Contact Information
Note:

1) Students must be Newark residents in order to participate in summer programs. Students who attend non-NPS schools will need to verify residency prior to attending summer programs.

2) Admission letters for all summer programs will be sent to the address entered on this application. Please make sure the address you provide is a current address in order to find out if your student is accepted!

Home Street Address *
Example: 765 Broad Street, 3rd Floor
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number *
Example: 973-733-7333
Your answer
Parent/Guardian Name *
Please enter first and last name
Your answer
Parent/Guardian Phone Number *
Example: 973-733-7333
Your answer
Parent/Guardian Email Address
Your answer
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