St. Augustine Catholic High School
STEM+ Focused Laptop Program Application Form 2020 - 2021
Student Last Name *
Your answer
Student First Name *
Your answer
Student Usual Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Town/City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Home Phone Number *
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Email *
Your answer
Parent/Guardian #1 Cell Phone Number *
Your answer
Parent/Guardian #1 Business Phone Number
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Cell Phone Number
Your answer
Parent/Guardian #2 Business Phone Number
Your answer
Current Elementary School *
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