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2021-22 Enrollment Application
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Student #1 Information
Grade Entering in 2021
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Choose
Kindergarten
3rd
4th
5th
6th
7th
8th
Student #1 First Name
*
Your answer
Student #1 Middle Name
Your answer
Student #1 Last Name
*
Your answer
Student #1 Preferred Name
Your answer
Student #1 Birthday Including Year
*
MM
/
DD
/
YYYY
Gender
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Female
Male
Other:
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Student #1 Current School
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Your answer
Ethnicity:
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Hispanic/Latino
African-American
Caucasian
Asian
Native American
Multiracial
Other
With whom does the student applicant live?
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Your answer
Student Home Address- Including State, City, Zip
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Your answer
How did you find out about Hope Academy?
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