Eagle Tech Academy Student Application
Eagle Tech Academy is now accepting applications for the 2020-2021 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

Untitled Title
Student First Name *
Your answer
Student Last Name *
Your answer
Student Middle Name
Your answer
Current Grade *
Date Of Birth *
MM
/
DD
/
YYYY
Year to attend ETA *
Student Home Address *
Your answer
Gender *
Does your student have an IEP or 504? *
Parent/Guardian Name *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian Email Address *
Your answer
Primary (Home/Cell) Phone Number *
Your answer
Secondary Phone Number (if applicable)
Your answer
Work Phone
Your answer
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. *
Your answer
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