Edward J. Sam Accelerated School of Lafayette Student Application
Thank you for your interest in our school!  Please make sure to complete all areas of this online application before submitting.  A valid email address must be entered.
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Parent Email  (All information will be sent to this email address.  Please check it frequently) *
Student's Last Name *
Student's First Name *
Student's Current Grade Level *
Student's Current Age *
Student's Birth Date *
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DD
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Student's Gender *
Student's Race *
Student's Zoned School *
Student's Home Address *
Student's Home Zip Code *
What is the primary language spoken at home? *
Are there any legal/custody concerns regarding this student? *
If YES, please explain - NOTE: original court papers, with the court seal, must be provided to the school in any sole custody arrangements
Does The Student Reside With His/Her Mother? *
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