The Mifflin County Academy of Science and Technology 2020-2021 Student Application Student Data (completed by student)
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Email *
Student First Name *
Student Last Name *
Address (street) *
Address (city) *
Address (zip) *
High School *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Gender *
Please list the program you wish to take at The Academy to prepare you for a career in that field. *
 List a SECOND choice in the instance that the program you have chosen has already filled its allotment of empty seats. *
Please answer the following question:  I am interested in enrolling in the program because.. *
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