Join the Empower movement!
Please complete this form in order to express your interest in enrolling in Empower College Prep and joining the Empower movement!
What is your student's first name?
What is your student's last name?
What grade will your student be in during the upcoming 2018-19 school year?
What is your student's birthday?
What school does your student currently attend?
What is the name of your student's parent/guardian?
What is the best phone number to reach your student's parent/guardian?
What is the address of your student's parent/guardian?
Please select any special programs for which your child qualifies.
ELL and Special Education
None of the above
Please write the name and grade of any brothers or sisters who are in grades K-12.
Please share additional information you want us to know about your student (i.e. interests, gifts/talents, future career, future college, etc.).
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