Home Language** International Leadership offers an approved lottery preference for English Language Learners. This question is optional, but may increase your chance of admission.
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Date of Birth *
MM
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DD
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YYYY
Birthplace
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Grade Applying for *
Current School Name
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Current School Address
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Current School Phone Number
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Special Needs/ Related Services
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First Parent/ Guardian FULL Name *
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Indicate First Parent/ Guardian Relationship to Student *
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Does First Parent/ Guardian live with student
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Cell phone / Home phone / Work phone of First Parent / Guardian (Please include all that apply) *
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Address of First Parent/ Guardian (must include apt. & zip code)
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Second Parent/ Guardian FULL name
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Indicate Second Parent/ Guardian Relationship to Student
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Does Second Parent/ Guardian Relationship live with student
Clear selection
Cell phone/Home phone/Work phone of Second Parent/ Guardian (Please include all that apply)
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Email of Indicate second Parent/ Guardian Relationship to Student
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Address of second Parent/ Guardian (must include apt. & zip code)
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Do you have any siblings currently enrolled or applying to International Leadership Charter High School *
If YES to previous indicate name and grade of current student *
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A copy of your responses will be emailed to the address you provided.