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2024 - 2025 Student Application Form
Please fill out the application information below.
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* Indicates required question
Email
*
Your answer
Name of Child
*
Your answer
Male/Female
*
Male
Female
Child's Birthday
*
Your answer
Address
*
Your answer
Mother's Full Name
*
Your answer
Mother's Phone Number
*
Your answer
Father's Full Name
*
Your answer
Father's Phone Number
*
Your answer
What grade is the child entering?
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Does your child have siblings at YCS?
*
Yes
No
Has your child ever been retained?
*
Yes
No
If yes, in what grade was your child retained?
Your answer
What other schools has your child attended?
*
Your answer
Is your child currently in a special needs program with an ETR and IEP(Special Education)?
*
Yes
No
I don't know
How did you hear about Youngstown Community School?
Your answer
Name of person filling out the form?
*
Your answer
Relationship to student?
*
Your answer
Date
*
MM
/
DD
/
YYYY
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