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International Leadership Middle School
2023-2024 Application for Student Admission
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* Indicates required question
Email
*
Your email
Students Last Name
*
Your answer
Students First Name
*
Your answer
Students Middle Name
*
Your answer
Address (must include apt. & zip code)
*
Your answer
School District
*
Your answer
Phone Number
*
Your answer
Home Language** International Leadership offers an approved lottery preference for English Language Learners. This question is optional, but may increase your chance of admission.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Birthplace
Your answer
Grade Applying for
*
6th Grade
Current School Name
Your answer
Current School Address
Your answer
Current School Phone Number
Your answer
Special Needs/ Related Services
Your answer
First Parent/ Guardian FULL Name
*
Your answer
Indicate First Parent/ Guardian Relationship to Student
*
Your answer
Does First Parent/ Guardian live with student
Yes
No
Clear selection
Cell phone / Home phone / Work phone of First Parent / Guardian (Please include all that apply)
*
Your answer
Address of First Parent/ Guardian (must include apt. & zip code)
Your answer
Second Parent/ Guardian FULL name
Your answer
Indicate Second Parent/ Guardian Relationship to Student
Your answer
Does Second Parent/ Guardian Relationship live with student
Yes
No
Clear selection
Cell phone/Home phone/Work phone of Second Parent/ Guardian (Please include all that apply)
Your answer
Email of Indicate second Parent/ Guardian Relationship to Student
Your answer
Address of second Parent/ Guardian (must include apt. & zip code)
Your answer
Do you have any siblings currently enrolled or applying to International Leadership Charter High School
*
Yes
No
If YES to previous indicate name and grade of current student
*
Your answer
A copy of your responses will be emailed to the address you provided.
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