Student Enrollment Application 2017-2018 School Year

Application Instructions :
1- Please fill out this form, with the student and parent information.2- Pay A $20.00 NON-REFUNDABLE application fee (payment using Credit/debit card , paypal, send a check)3- Send/upload A copy of all student records if the student is being transferred from another school (public or private), and is in the second grade or above:- Birth certificate- Most recent report card- Standardized exam score report- IEP/modifications- Disciplinary records- Immunization recordsPlease schedule an appointment with the school administration if the student is being transferred from another school (public or private).
Student Name:
Gender:*
Date:*
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Address:*
Phone Number:*
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Current School :*
Last Grade Completed :*

Mother’s Information:

Mother’s Name:*
Address :*
Phone Number :*
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E-mail:*
Profession:*

Father’s Information:

Father’s Name:*
Address : *
Phone Number : *
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E-mail: *
Profession: *