HIGH SCHOOL APPLICATION
Student Name
Your answer
Student Preferred Name
Your answer
Complete Address
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Student Age
Your answer
Parent 1 or Guardian Name
Your answer
Email
Your answer
Address
Your answer
Relationship
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Parent 2 or Guardians Name
Your answer
Address
Your answer
Relationship
Your answer
Home Phone
Your answer
Cell Phone
Your answer
If the student is 16 years of age or older, what is the current status of guardianship process?
Your answer
If the student is 18 years of age or older, who is the legal guardian?
Your answer
Is the student currently enrolled in school?
Name of School (if not in school, last school attended)
Your answer
If in school, reason for looking at new school/If not in school, reason for leaving/termination
Your answer
Grade Level
Your answer
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