Shabazz City High School Application for Semester 2, 2020-21
NOTE: WE ARE NO LONGER TAKING APPLICATIONS FOR SEMESTER 2. THE WINDOW TO APPLY FOR THE 2021-22 SCHOOL YEAR WILL BE ANNOUNCED IN THE SPRING.
Student's First Name
Student's Last Name
Student's Date of Birth
Student ID # (if currently at MMSD)
Student's Current Grade
Student's Home Address - Street
Student's Home Address - City
Student's Home Address - State
Student's Home Address - Zip
Student's Current School
East High School
La Follette High School
Memorial High School
West High School
Badger Rock Middle
Spring Harbor Middle
(First and last name of person filling out this form.)
Contact Information - Phone Number
(Please use this format: (xxx) xxx-xxxx
Contact Information - Email
(Please provide your email address.)
Your relation to the student?
How did you hear about Shabazz?
School staff: counselor, psychologist, other
Word of mouth
Shabazz staff visited school
If you have questions about the application process please call 608-204-2440.
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