The ASK Academy New Scholar Application for 2017-2018
This application is for next school year (2017-2018). Please complete all questions below for your scholar.
All applications received after 2/28/17 are not included in the 3/1/17 lottery drawing and will go to the bottom of the waiting lists.
Scholar Information
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade will be in 2017-2018 *
Current grade Level in 2016-2017 *
(i.e. 5,6,7,8,9,10,11,12)
Parent Name/Contact Information
Parent Full Name *
Your answer
Address *
Your answer
Apt #
Your answer
City *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Alternate Phone Number
Your answer
Email Address *
Your answer
Parent Signature
Initials *
Type your initials to sign the form electronically
Your answer
Submit
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