San Miguel High School Admission Application
This form is used to gather information for prospective applicants to San Miguel High School.
Email address *
Date of Application (Fecha) *
MM
/
DD
/
YYYY
Grade applying for (Nivel de grado solicitando) *
Required
Scheduled Year of Graduation (Ano de graduacion) *
Required
First Name (Nombre del estudiante) *
Your answer
Last Name (Apellido) *
Your answer
Middle Name or Initial (Segundo nombre)
Your answer
Gender *
Required
Home Phone (Numero de telefono) *
Your answer
Street Address (Numero y calle) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Required
Zip *
Your answer
Citizenship (Ciudadano de) *
Required
Is student legally authorized to work in the U.S. (Es el estudiante legalmente autorizado para trabajar en los EE. UU.) *
Required
Date of Birth (Fecha de nacimiento) *
MM
/
DD
/
YYYY
City of Birth (Lugar de nacimiento) *
Your answer
Nation of Birth (Nacion de nacimiento) *
Required
Primary Home Language (Idioma Principal hablado en la casa) *
Required
Ethnicity (Etnicidad) *
Required
Religion (religion) *
Required
Parish/Church (Parroquia/Iglesia)
Your answer
Medical Information: Does the student have any physical or mental condition of which the school should be aware of? Does the student need special accommodations? Please explain
Your answer
Tiene el estudiante alguna condicion mental o fisica de la cual la escuela deba estar enterada? Necesita el estudiante comodidades especiales? Por favor explique
Your answer
Parents' Marital Status (Estado civil de los padres) *
Required
Student Lives With (El estudiante vive con) *
Required
Mother's First Name (Nombre de la madre) *
Your answer
Mother's Last Name (Apellido de la madre) *
Your answer
Street Address (Direccion) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Required
Zip Code (Codigo postal) *
Your answer
Mother's Cell Phone (Celular de la madre) *
Your answer
Mother's Employer (Lugar de Trabajo)
Your answer
Mother's Occupation (Ocupacion)
Your answer
Mother's Work Phone (Telefono de trabajo)
Your answer
Mother's Email (Correo electronico)
Your answer
Mother's Level of Education (Nivel de educacion)
Father's First Name (Nombre del padre) *
Your answer
Father's Last Name (Apellido del padre)
Your answer
Street Address (Numero y Calle) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Required
Zip Code (Codigo postal) *
Your answer
Father's Cell Phone (Celular del padre)
Your answer
Father's Employer (Lugar de trabajo) *
Your answer
Father's Occupation (Ocupacion)
Your answer
Father's Work Phone (Telefono de trabajo)
Your answer
Father's Email (Correo electronico)
Your answer
Father's Level of Education (Nivel de educacion) *
Required
Siblings attending San Miguel? (Hermanos que asisten a San Miguel) *
Number of siblings (Cuantos Hermanos tiene el estudiante)
Your answer
Sibling Attending College?
Student's Current School (Escuela actual del estudiante) *
Your answer
Type of School (Tipo de escuela) *
Required
Home School (Public school student would attend based on zip code)(Escuela de origen) *
Your answer
Home School District (Distrito escolar) *
Your answer
How did family hear about San Miguel? (Como escucho de San Miguel)
Your answer
Expelled? (Expulsado?) *
Required
Convicted of Crime? *
Required
Has the student been enrolled in a special education program? (Ha estado el estudiante en un programa de educacion especial?) *
Required
Has the student ever been enrolled in an English Language Learner (ELL) Program? Ha estado el estudiante matriculado en clases de Estudiante de Lengua Inglesa (ELL)? *
Required
Grade Levels of ELL (Grados en ELL)
Your answer
Has the student been a recipient of the Empowerment Scholarship Account (ESA)? (Ha sido el estudiante un recipiente de la beca (ESA)) *
Required
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