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Application for The Collegiate Academy of Birdville 2021-2022
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* Indicates required question
Name (Last, First, Middle)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Other:
Race/Ethnicity
*
American Indian/Alaskan Native
Asian
Black
Hispanic
Native Hawaiian/Pacific Islander
Two or More Races
White
Home Address (number, street, apt, city, state, zip)
*
Your answer
Student email address
*
Your answer
Student telephone number
*
Your answer
Are you currently a BISD student?
*
Yes
No
If so, what is your BISD ID number?
*
Your answer
What middle school do you attend?
*
Haltom Middle School
North Oaks Middle School
North Richland Middle School
North Ridge Middle School
Richland Middle School
Smithfield Middle School
Watauga Middle School
Other
What is the primary language spoken at home?
*
Your answer
Are you receiving free or reduced lunch?
*
Yes
No
Do you have internet access at home?
*
Yes
No
Parent/Guardian 1 - Name (Last, First)
*
Your answer
Relationship to student
*
Mother
Father
Grandparent
Guardian
Highest level of Parent/Guardian 1's education
*
Elementary School
Some High School
High School Diploma/GED
Some College
Bachelors, Masters, Doctorate
Parent/Guardian 1 - phone number
*
Your answer
Parent/Guardian 1 - email
*
Your answer
Parent/Guardian 2 - Name (Last, First)
Your answer
Relationship to student
*
Mother
Father
Step-parent
Grandparent
Guardian
Parent/Guardian 2's address if different from Parent/Guardian 1.
Your answer
Highest level of Parent/Guardian 2's education
Elementary School
Some High School
High School Diploma/GED
Some College
Bachelors, Masters, Doctorate
Clear selection
Parent/Guardian 2 - phone number
Your answer
Parent/Guardian 2 - email
Your answer
Submit
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