River Islands Technology Academy - Interest List Application for Lottery/Admissions (Complete for New Students Only)
This application is for those who missed the original Lottery deadline, but are still interested in applying for the lottery list. **ALL BESD residents that applied are eligible to submit a registration packet**
Please see our website for additional information.
Email address *
Student Information
First Name *
Your answer
Last Name *
Your answer
Current School Name *
Your answer
Grade Applying For *
2019-2020 School Year
Birth Date *
MM
/
DD
/
YYYY
Gender *
Place of Birth *
Your answer
Home Phone Number *
Your answer
Student's Street Address *
Your answer
Student's City and State *
Your answer
Student's Zip Code *
Your answer
Does student have any siblings who are currently enrolled at RitechA? *
If yes, please list sibling name(s):
Your answer
Parent/Guardian Information
Are you a current or future resident of the River Islands Community? If yes, please contact the office ASAP. *
If you are a future resident, when is your expected move in date?
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian E-Mail Address *
We will use this E-Mail address for communications from the school
Your answer
Street Address *
Your answer
City and State *
Your answer
Zip Code *
Your answer
Parent/Guardian Primary Phone Number *
Your answer
Parent/Guardian Secondary Phone Number
Your answer
A copy of your responses will be emailed to the address you provided.
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