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Application for Admission

Please complete the form below. Required fields marked with an asterisk *

Return the completed application along with a nonrefundable $105.00 application fee to the Admissions Office.

Today's Date*

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Contact Information

First Name*

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Middle Name*

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Last Name*

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Email 1*

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Email 2

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Mobile Phone*

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Home Phone

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Address

Street Address*

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City*

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Zip/Postal*

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Gender*

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Birthdate*

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Social Security Number*

If you are not comfortable with sharing this information - Please input "0". You will receive a call from Mrs. Tanaka to provide this information.

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Grade Entering*

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Other Schools Attended:

School Name*

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Location of School*

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Date attended*

First Year- Last Year

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Confirmation Email

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