Student Application Form: East Austin College Prep Academy

East Austin College Prep Academy New Student Application Form

Student's Legal Name *REQUIRED*

Grade in Fall 2011

Birth Date

Home Address

City

State

Zip Code

Age on Sept 1, 2010

Last School Attended

District of Residence

With Whom is the Student Currently Living?

Does student have a sibling enrolled in this school?

If applicant has a sibling enrolled in this school, what is their name?

Parent/Legal Guardian Name

Relationship to Student

Address (if different from above)

City

State

Zip Code

Phone *REQUIRED*

E-mail Address

Language Preference/Idioma Principal

Questions & Comments

Preferred Response

Southwest Key Programs