2022/2023 Online Application for Enrollment at The Graham School
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I am applying to enroll: *
Prospective student's legal first name *
Prospective student's middle name *
Prospective student's last name *
Prospective student's chosen/preferred first name *
Date of Birth *
MM
/
DD
/
YYYY
City/State of Birth *
Gender *
What is your primary language? *
Is your student Hispanic? *
Ethnicity *
(Check all that apply.)
Required
Address *
City: *
State: *
Zip: *
Primary Phone *
Example: 555-555-5555
Is the above Phone number your: *
What county do you live in? *
Required
E-Mail address *
Preferred Method of Contact *
Does student currently have a sibling at: *
Does your student have an IEP/ETR? *
If you answer yes, please provide a copy of the most recent IEP/ETR.
Does your student have an 504 Learning Plan? *
If you answer yes, please provide a copy of the most recent 504 Learning Plan.
Has you student ever been evaluated for special education services *
Has your student had an IEP or 504 Learning plan in the past? *
If you child previously attended a non-public school, has your student been using a Service Plan to assist them with their learning? *
What school district do you live in? *
What school is your student currently attending? *
List all previous High Schools (if any): *
Current Grade Level (2021-22): *
Grade Level next year (2022-23) *
Has your student repeated a grade level? *
If yes, what grade level was repeated?
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