Star of the Northwest Magnet School Initial Application
Page 1 of 3
Star of the Northwest Magnet School Application
1.
Today's Date
mm/dd/yyyy
2.
First name
*
3.
Last name
*
4.
Date of birth
*
mm/dd/yyyy
5.
Birth place
6.
Gender
Gender
Male
Female
7.
Current grade
8.
Cell or home phone number
*
9.
Email address
10.
Ethnicity
*
--Please Select--
Alaska Native
White
Black
Asian
American Indian
Hispanic
Native Hawaiian or Pacific Islander
Other
11.
Mailing address (street or P.O. box, city, state, zip code)
12.
Do you have a high school available to you where you live?
Do you have a high school available to you where you live?
Yes
No
13.
Has student ever been enrolled in a NWABSD school?
Has student ever been enrolled in a NWABSD school?
Yes
No
14.
If student has been enrolled in a NWABSD school, when was that?
15.
Names of family members who are currently attending or who have attended NWABSD schools (leave blank if this does not apply):
Name
Relation
Dates Attended
16.
Names of family members who are currently attending or who have attended NWABSD schools (leave blank if this does not apply):
Name
Relation
Dates Attended
17.
Names of family members who are currently attending or who have attended NWABSD schools (leave blank if this does not apply):
Name
Relation
Dates Attended
