2018-2019 Transfer to Rise Up Request Form
Email Address *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student ID# *
Your answer
Address *
Your answer
Date of Birth *
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/
DD
/
YYYY
Parent First Name *
Your answer
Parent Last Name *
Your answer
Home Phone Number *
Your answer
Reason for request to transfer to Rise Up Academy *
Your answer
Current School (or last school attended) *
Required
Grade Level for School Year 17-18 *
Required
Are you a Special Education Student *
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