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OIA Application
This form is required for your student to be placed in the lottery for Owensboro Innovation
Academy. Please make sure to hit submit at the end so we can process your application!
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Gender
*
Your answer
Name of Middle School
*
Your answer
Home High School (high school you would be zoned to attend according to where you live)
*
Your answer
Current Math Class
*
Pre-Algebra
Algebra for High School Credit
Geometry for High School Credit
Algebra 2 for High School Credit
Parent/Guardian Full Name
*
Your answer
Parent/Guardian Street Name and Number
*
Your answer
Parent/Guardian City
*
Your answer
Parent/Guardian Zip Code
*
Your answer
Parent Email address
*
Your answer
Parent Phone Number (including area code)
*
Your answer
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