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SMPSS Student Transfer Application 23-24 Form
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* Indicates required question
STUDENT’S NAME:
*
Your answer
STUDENT'S DATE OF BIRTH:
*
Your answer
STUDENT'S RACE:
*
Choose
Black
White
Hispanic
Asian
Native American/Alaskan Native
Hawaiian/Pacific Islander
PHYSICAL ADDRESS:
*
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
MAILING ADDRESS:
*
Your answer
EMAIL:
*
Your answer
STUDENT'S HOME ATTENDANCE ZONE SCHOOL: (school student currently attends)
*
Choose
Breaux Bridge Primary
Breaux Bridge Elementary
Breaux Bridge Jr. High
Breaux Bridge High
Cecilia Primary
Teche elementary
Cecilia Jr. High
Cecilia High
Parks Primary
Parks Middle
Early Learning Center
St. Martinville Primary
St. Martinville Jr. High
St. Martinville High School
Out of Parish
PARENT/GUARDIAN’S NAME
*
Your answer
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