2021-2022 Open Enrollment Application
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Student's Last Name *
Student's First Name *
Student's Date of Birth *
Parent/Guardian Name *
Street Address *
City *
Zip Code *
Phone Number *
Current School District of Residence *
Grade Level THIS Year (2020-2021) *
Grade Level NEXT Year (2021-2022) *
Did this student attend Hopewell-Loudon in 2020-2021? *
Is this student on an IEP? *
Was this student ever suspended or expelled? *
Name of adult completing application *
I am the above named adult and have the authority to make educational decisions on behalf of the student applying. *
If the answer is no, please explain.
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