Eagle Tech Academy Student Application
Eagle Tech Academy is now accepting applications for the 2021-2022 school year! This year, we are providing an electronic copy of our application to help make the process easier. If you would like to have a paper copy of the ETA Application, please do not hesitate to contact the ETA main office at 260-244-5707.

Please feel free to submit your application from now until December 1st.

* You may enter your student's information directly on the form. You do not need to hit the edit/Pencil button in the upper right corner to enter your information.

Thank you for your interest!

Respectfully,

Braden Mullett
Student First Name *
Student Last Name *
Student Middle Name
Current Grade *
Date Of Birth *
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Year to attend ETA *
Student Home Address *
Gender *
Does your student have an IEP or 504? *
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Email Address *
Primary (Home/Cell) Phone Number *
Secondary Phone Number (if applicable)
Work Phone
By entering your name below, you agree that all information provided in this form is accurate and true. *
Required
By entering your name below, you are stating that you are the guardian of this applicant and your typed name represents your signature. *
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