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Credit Acceleration/Credit Recovery Enrollment
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Email
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Your email
Student: Last Name
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Your answer
Student: First Name
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Your answer
Student: Middle Name
Your answer
Student: Date of Birth
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Your answer
Student: Gender
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Female
Male
Student: Current Grade Level
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Choose
6
7
8
9
10
11
12
Ethnicity
Hispanic/Latino Ethnicity?
Federal Race
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1-American Indian or Alaskan Native
2-Asian
3-Black or African American
4-Native Hawaiian or Other Pacific Islander
5-White
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Student: Language
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Choose
English
Arabic
Chinese
Filipino
German
Hmong; Mong
Croation
Hungarian
Italian
Korean
Lao
Philippine Lang
Polish
Russian
Sign Languages
Spanish
Serbian
Tagalog
Thai
Undetermined
Vietnamese
Yoruba
Student: Street Address, City, State, and Zip
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Your answer
Student: Home Phone
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Your answer
Student: Cell Phone
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Student: Email Address
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Your answer
School Currently Attending
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District of Residence
Your answer
Name of Course(s) Needed
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Your answer
Guardian 1: Last Name
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Your answer
Guardian 1: First Name
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Your answer
Guardian 1: Middle Name
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Your answer
Guardian 1: Primary Phone
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Your answer
Guardian 1: Cell Phone
Your answer
Guardian 1: Email Address
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Your answer
Guardian 1: Street Address
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Your answer
Guardian 1: City
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Your answer
Guardian 1: State
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Your answer
Guardian 1: Zip
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Your answer
Guardian 1: Relationship
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Mother
Father
Grandparent
Guardian
Aunt
Uncle
Sibling
Student
Foster Parent
Other
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