Imbler Charter School Application Form
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Student Name: *
Parent/Guardian Name: *
Current grade level (2023-24 school year) *
Birthdate: *
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DD
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Mailing address *
Physical address: *
Best phone number for contact: *
Best email address for contact: *
Why are you interested in the Imbler School District? *
Has your student ever been expelled from another school district? *
Thank you for applying at Imbler Charter School.  
Note:  All non-resident students will be required to sign a Non-Resident Student Conduct/Expectations Agreement
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This form was created inside of Imbler School District.