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School Counselor
****FOR DATA COLLECTION PURPOSES ONLY****
A current student of yours is applying to Crosby High School. Thank you for your time and assistance.
*Disclaimer: Please utilize your work email and not your personal email to complete this form.
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Email
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Your email
Your First Name:
*
Your answer
Your Last Name:
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Your answer
School:
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Choose
North End Middle School
Wallace Middle School
West Side Middle School
Waterbury Arts Magnet Middle School
Carrington
Duggan
Gilmartin
Reed
Other
If you selected "Other", what school do you represent?
Your answer
Student Applicant's First Name:
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Your answer
Student Applicant's Last Name:
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Your answer
Checklist of items to interoffice/ scan to email to Crosby High School (Attention: Nikki Allison - ACE)
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Grade 7 Report Card (must list attendance)
Grade 8 Report Card (must list attendance)
Discipline Report (Grade 7 and current report)
Grade 6 SBAC ELA scores
Grade 6 SBAC math scores
Grade 6 ELA and math comparable standardized assessment such as the IOWA tests
Grade 7 & 8 Attendance Report if attendance is NOT listed on Grade 7 & Grade 8 report cards
Required
By submitting this form it is your electronic signature to fulfill the school counselor portion of the student's application for admission to Crosby High School.
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Yes, I agree
A copy of your responses will be emailed to the address you provided.
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