All applicants must see the principal before acceptance. Applicants will be required to take and pass a placement test administered by the school prior to admissions.


DIRECTIONS: Complete and send this form before requesting a placement test date.

Your Email (required)

STUDENT'S LAST NAME (required)

STUDENT'S FIRST NAME (required)

STUDENT'S MIDDLE NAME

SEX
MaleFemale

Home address (required)

Telephone

Birth Date (required)

Social Security #

Current Grade (required)

Grade Applying For (required)

School(s) Attended

Address of School

Telephone of School

FAMILY INFORMATION

Father's Name (required)

Father's Address(required)

Father's Telephone (required)

Mother's Name (required)

Mother's Address (required)

Mother's Telephone (required)

Emergency Contact Name (required)

Emergency Contact Telephone (required)