Urban Prep Charter Academy for Young Men Electronic Application (Current 9th-12th graders only)
To apply to Urban Prep, please complete the following form. Applicants must be residents of the City of Chicago and remain residents throughout their enrollment with Urban Prep. Please contact our Admissions Department at 312-276-0259 ext. 1108 with questions. Thank you.

To request information about Urban Prep, please go to the following URL: http://www.urbanprep.org/about/contact-us

Enrollment Information
When Do You Want to Enroll? *
If you want to enroll ASAP, put today's date. If you want to enroll for the 2018-2019 school year, put August 1st, 2018.
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Grade-Level at Current School (if summer, put grade level for fall) *
In some cases, a student is in at grade-level at their previous school but enrolled at a different grade-level at Urban Prep based on their transcripts and current grades. Urban Prep will evaluate transcripts and current grades to determine the grade-level.
Campus of Interest (check all that apply) *
Required
Student Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
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Current school you attend *
Your answer
Do you have a sibling/brother currently enrolled at Urban Prep? *
Required
If "Yes", please enter his name and select the campus he attends.
Your answer
Parent or Guardian Information
For this section, please list ONE parent/guardian who should be the primary point of contact regarding this student’s application. Upon enrollment at Urban Prep, there will be an opportunity for you to add other parents/guardians to the students file.
Honorific *
First Name *
Your answer
Last Name *
Your answer
Relationship To Applicant *
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell/Mobile Phone Number *
(xxx-xxx-xxxx)
Your answer
Home Phone Number
(xxx-xxx-xxxx)
Your answer
Email Address *
Your answer
How did you hear about Urban Prep (CHECK ALL THAT APPLY) *
Required
Parent Signature/Guardian Signature
By providing your electronic signature below, the student and parent confirm that the information provided on this application is true/accurate. The student and parent understand that 1) completion of this application does not guarantee admission; 2) applicant is a resident of the City of Chicago; 3) the applicant is currently enrolled in or recently completed the grade level preceding the one for which they are applying (e.g. transfer applicants for Urban Prep’s 10th grade/Sophomore class are currently in or recently completed the 9th grade)
Signature (type name) *
Your answer
Confirm Signature *
Required
Today's Date *
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Relationship To Student *
Submit
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