2021-22 Enrollment Application
Please complete the following questions if you would like to learn more about Hope Academy


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Student #1 Information
Grade Entering in 2021 *
Student #1 First Name *
Student #1 Middle Name
Student #1 Last Name *
Student #1 Preferred Name
Student #1 Birthday Including Year *
MM
/
DD
/
YYYY
Gender *
Required
Student #1 Current School *
Ethnicity:
With whom does the student applicant live? *
Student Home Address- Including State, City, Zip *
How did you find out about Hope Academy? *
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