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BHS SUMMIT LEARNING APPLICATION Q2 2020
9TH - 12TH GRADE
* Indicates required question
NAME: FIRST AND LAST
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Your answer
EMAIL ADDRESS
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Your answer
PHONE NUMBER
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Your answer
PARENT/GUARDIAN NAME
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Your answer
PARENT/GUARDIAN PHONE NUMBER
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Your answer
SCHOOL CURRENTLY ENROLLED IN
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WASILLA HIGH SCHOOL
COLONY HIGH SCHOOL
HOUSTON JUNIOR SENIOR HIGH SCHOOL
REDINGTON JUNIOR SENIOR HIGH SCHOOL
PALMER HIGH SCHOOL
MATSU CENTRAL
VALLEY PATHWAYS
TWINDLY BRIDGE
ANCHORAGE SCHOOL DISTRICT
OTHER HOME SCHOOL PROGRAM
OUT OF STATE
CURRENT GRADE LEVEL (9-12)
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9
10
11
12
AGE
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14
15
16
17
18
19
WILL YOU NEED BUSING?
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Yes
No
CURRENT NUMBER OF CREDITS TOWARD GRADUATION
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Your answer
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