CEC APPLICATION FOR ADMISSION 2021-22
* Required
Email address
*
Your email
The Chain Exploration Center Inc. does not discriminate on the basis of a student's sex, race, religion, color, national origin, ancestry, creed, pregnancy, marital or parental status, sexual orientation, physical, mental, emotional or learning disability/ handicap.
Student's Full Name
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Your answer
Student's Date of Birth (MM/DD/YYYY)
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Your answer
Gender
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Male
Female
What grade will student be entering in Fall 2021
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4K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
List any siblings of this student who are already attending the CEC
*
Your answer
List any siblings who are also applying to CEC and were not yet attending in 2020-21
Your answer
Parent/Guardian Name
Your answer
Full Address
Your answer
Phone Number
*
Your answer
Do you reside in the School District of Waupaca?
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Yes
No, currently open enrolled (OE accepted prior to Feb 1, 2021)
No, intending to open enroll after Feb 1, 2021:
https://dpi.wi.gov/open-enrollment
Does this student have an Individualized Educational Plan for special education services?
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Y
N
Pending
What school is your child currently attending?
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Your answer
Choosing the CEC is a choice for a particular approach to education. What has led you to seek project based learning methods for your child?
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Your answer
By checking this box, you are acknowledging the unique features of the CEC and that your involvement will be encouraged throughout the year.
*
check here
Required
A copy of your responses will be emailed to the address you provided.
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