Middle College - New/Prospective Student Information Sheet
Thank you for your interest in Middle College!

After you complete this form, you will be contacted by a Middle College staff to discuss the next steps.
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Student Last Name *
Student First Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Student ID (if attending an SBUSD school)
Current Grade *
Current School *
Student Current Address *
Student email address *
Student Cell Phone Number
Does your student have: *
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