2019-2020 Student Application Form (Waitlist)
Student Information
Student's Last Name *
Student's First Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level (2018-2019 School Year) *
Gender *
Street Address *
City *
State *
Zip Code *
Current School
Clear selection
Primary Ethnicity (Optional)
Clear selection
What language did your child first learn to speak?
Clear selection
What language does your child use the most at home?
Clear selection
What is the primary language used in the home, regardless of the language spoken by your child?
Clear selection
Does the child currently receive free or reduced lunch?
Clear selection
Has your child ever received special education services or do you suspect that your child may have a disability?
Clear selection
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