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New Student Initial Application to BRH Dorm
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Email
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Your email
Student Name & Last name
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Your answer
Parents' Names
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Your answer
Address
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Your answer
Parents contact information
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Your answer
Grade (upcoming)
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Your answer
The Dorm values its commitment to provide a supportive environment to all of its residents. Please share with us any medical, emotional, or other issues we should be aware of.
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School currently attending
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Name of Current principal & contact information
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Your answer
Reference name & phone number (1)
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Your answer
Reference name & phone number (2)
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Your answer
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