21-22 Semester 2 or                                                     22-23 CSCS Student Application
We are only able to accept applications from MCPASD residents for the second semester of the 2021-22 school year and these applications will be accepted on a first come, first served basis.   Applications for the 2022-23 school year which come in prior to January 7 will be included in the lottery, which will be held after school on January 7.  
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Student First Name *
Student Last Name *
Student Date of Birth *
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DD
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Student Gender
Clear selection
Student Home Address (street, city, state) *
Student Home Phone/Best Contact *
Student e-mail
Current School District *
Current School *
Current Grade *
School Year Looking to Enroll
Clear selection
Have you attended a Clark Street event (exhibition night, Presentations of learning, etc.)? *
Parent/Guardian Name (First Name, Last Name) *
Parent/Guardian Address (street, city, state) *
Parent/Guardian Home phone/Best Contact *
Parent/Guardian e-mail *
How did you hear about Clark Street? *
Second Parent/Guardian Name
(First and Last Name, current address, phone number, and e-mail address)
Second Parent/Guardian Address
Second Parent/Guardian Phone
Second Parent/Guardian email
Submit
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