Marine Science Academy Application for Rising 11th or 12th Graders
Use this form to apply for a the Marine Science Academy at Eugene Ashley High School. The following documents must be submitted to your school counselor by February 19th: application with essay, teacher recommendation, principal or counselor recommendation form.  Your application is not complete until all documents have been submitted.
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Email *
Student Name (First Middle Last) *
Date of Birth *
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Ethnicity/ Race
Gender
Power School/ Student ID # *
Grade *
Required
Student Home Address *
City *
Zip Code *
School Assignment (High School Attendance Zone) *
Student Email *
Student Cell Phone Number *
Parent Address if different from student
Parent Phone Number *
Parent Email Address *
Does the student have the following Special Education services? *
Required
If English is not the primary language spoken at home please write the language below.
Please list the teachers EMAIL ADDRESSES you would like to submit a Teacher Reference Form. (2 Required; check spelling, if correct address is not use teacher recommendations may not be returned) *
How did you hear about the program? *
Please select the date below you will come to the Media Center during 2nd block to complete your personal essay. *
Required
By checking below you are saying that you have requested that your transcripts be sent to Lauren Thompson at Ashley High School Marine Science Academy *
Required
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