Septima P. Clark Academy Student Application 2020-2021
Please complete to the best of your ability and a member of our staff will contact you to schedule a tour and an interview.
Email *
Student Applicant Information
Please complete this section with the applicant's student information.
Student's Full Name *
Date of Birth *
Clear selection
Full Mailing Address *
Student Email Address *
Student Phone Number *
Ethnicity *
Parent/Guardian Information
Please complete concerning adult support for student applicant
Name(s) *
Address(if different from student)
Relationship to Student *
Parent Phone Numbers *
Parent Email Address *
School Information
**general information to be paired with transcripts**
Current Home School *
CCSD Zoned School (if different)
Schools Attended (High and Middle) *
Other Information (Special Needs) *
Discipline *
Any friends or relatives currently at Clark? *
Short Answer (please answer in at least 5 sentences)
To be completed by potential student
Why are you interested in attending Clark Academy? *
Describe a time you have had to change in order to be successful. *
Describe a problem (attendance, behavior, academics) in school that you have had in the past and what you can do to make sure that you do not have the same problem at Clark. *
Describe a person you look up to and why. *
Describe yourself to a person who has never met you before. *
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