SALA and SMSA Application

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Application for Full Time Admission for School Year 2021-2022

Application Due Date: January 31, 2021

This application contains five sections (demographics, honors application, essay, letters of recommendation, and release of records/submission). Since it may take longer than 1 hour to complete the application, it is recommended that students complete the essay in Microsoft Word prior to starting the application. The final essay can be cut and pasted into the response box. Here is the prompt:

"Share an important or difficult decision you have made within the past two years. Describe the situation: Detail what you have learned about yourself and/or others from this situation and highlight if the decision included overcoming an obstacle. "

This is an application for (check all that apply):

Somerville Academy of Liberal Arts (SALA)

Somerville Medical Sciences Academy (SMSA)

Student's Last Name *

Student's First Name *

Student's Middle Name

Current School *

Branchburg Central Middle School

Somerville Middle School

Other:

Student's Home Phone Number *

Student's Home Address, City, State, Zip Code *

Student's Date of Birth *

Guardian 1 Name *

Guardian 1 Daytime Phone Number *

Guardian 1 Cell Phone Number

Guardian 1 E-Mail *

Guardian 1 Relationship to Student *

Mother

Father

Guardian

Guardian 2 Name

Guardian 2 Daytime Phone Number

Guardian 2 Cell Phone Number

Guardian 2 E-Mail

Guardian 2 Relationship to Student

Mother

Father

Guardian

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