The New Palestine Early College Application 2019-2020 for 2020-2021 School Year
Please complete this form to apply for New Palestine''s Early Program for the 2020-2021 School Year. Questions about this application? Please email Dr. Kevin Mowrer, Early College Director, at
Email address *
Please input applicant's last name. *
Please input applicant's first name. *
Please input current grade level *
Date of Birth *
Please input applicant's parent/s name/s. *
Home Address- #, street name, and city. *
Preferred Parent Cell Phone Number (including area code) *
Parent Email Address (please input carefully) *
Highest education completed for parent/guardian #1. *
Highest education completed for parent/guardian #2.
Clear selection
Does the applicant have or have they had a sibling in the Early College Program at New Palestine? If so - who? *
Why are you interested in the NPEC program? Why should you be selected? Maximum 100 words *
Please list the community activities, volunteer activities, hobbies, talents and extra-curricular activities in which you are involved. List all in on long line with commas separating each.
Eligible for free and reduced lunch? *
Eligible for Special Education Services? *
Eligible for English Language Services? *
I understand that application to NPEC requires I intend to pursue one of the following options through Vincennes University. *
Were you referred by a current student in Early College? *
If you were referred, who referred you? (Please input first and last name)
A copy of your responses will be emailed to the address you provided.
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