Fall 2024 Request for Information Card
Please tell us a little more about yourself so we can make sure and give you all the information you need about ASMSA.  Arkansas' #1 ranked public high school.

Please make sure you include YOUR PERSONAL EMAIL ADDRESS.  NOT a school email.  Often times the school email address will not accept emails from an outside institution.  Please make sure this is the email address of the student and not a parent.  Parents will establish their own contact card with ASMSA later in the admissions process.  Thank you!
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Email *
Student First Name *
Student Last Name *
Student Preferred Name *
Student Mobile Phone Number *
Student Date of Birth *
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/
DD
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YYYY
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Parent/Guardian Mobile Number
Student's current grade for the 2023-2024 school year *
I am interested in coming to ASMSA as a  *
Street Address *
City *
State *
Zip Code *
County *
Name of current school *
Have you taken ACT or SAT?  Please Share your composite score.
Current GPA
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What are you most interested in academically?
  (Choose up to 2 options.)
*
Required
My Extracurricular Interests Include:
 (Check all that apply)
How did you hear about ASMSA?  (Check any that apply) *
Required
I understand that submitting this form gives ASMSA permission to contact me via text and/or email. *
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