Biographical Information
Student Name
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Grade *
Major *
Student Instrument (if applicable)
Your answer
Student Primary Address & Phone
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student Cell Phone *
Your answer
Student Accommodations
Does this child have an Individual Education Plan (IEP)? *
(If yes, please bring a copy of the IEP to the entrance interview.)
Required
Does this child have an 504 Accommodation Plan? *
(If yes, please bring a copy of the 504 Accommodation Plan to the entrance interview.)
Required
Does this child have any allergies? *
(If yes, please bring a copy of a doctor's note or allergy plan to the entrance interview.)
Required
Contact Information – Parent #1
First Name *
Your answer
Last Name *
Your answer
Home Telephone *
Your answer
Business Telephone
Your answer
Cellular Telephone *
Your answer
Email Address *
Your answer
Address
(If different from student's address.)
Your answer
Contact Information - Parent #2
First Name
Your answer
Last Name
Your answer
Home Telephone
Your answer
Business Telephone
Your answer
Cellular Telephone
Your answer
Address
(If different from student's address.)
Your answer
Email Address
(If different from student's address.)
Your answer
Home Life
Language spoken at home *
(For telephone use)
Your answer
Preferred written language *
(For mail sent home)
Your answer
Preferred method of communication with school: *
Housing Status *
Required
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