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EMHS Waiting List 2022-2023
You are signing up for the EMHS waitlist. One form must be submitted for each student.
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* Indicates required question
Email
*
Your email
Student's Legal First Name
Your answer
Student's Legal Last Name
*
Your answer
Student's Date of Birth
MM
/
DD
/
YYYY
Student's Legal Gender
*
Choose
Female
Male
Current Grade Level
Choose
9
10
11
12
If my student is a rising sophomore, junior, or senior, I agree to submit the required materials to complete my application.
*
Yes
No
N/A
Name of School Attended in Current School Year
Your answer
Parent/Guardian 1 Name
*
Your answer
Parent/Guardian 1 Email
*
Your answer
Parent/Guardian 1 Preferred Phone (XXX-XXX-XXXX)
*
Your answer
Parent/Guardian 1 Address
*
Your answer
Parent/Guardian 1 City/State/ZIp
*
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 Preferred Phone (XXX-XXX-XXXX)
Your answer
Sibling Status- Do you have a child currently attending EMHS?
*
Yes
No
Sibling Status- If Yes, please provide first and last name and grade of student.
Your answer
Please certify that the information you have entered above is correct.
I agree
A copy of your responses will be emailed to the address you provided.
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