Student Application

Student Information
2021-2022
Home Address
Student History
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Student Medical Information
Contact Information
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Last School Attended Information
Signature

Access Charter School, Inc. does not disctriminate in admissions or access to, or treatment or employment in its programs and activities on the basis of race, age, sex, national origin, martial status, handicap or any other reason prohibited by law.

Please review your application, there are some fields that require your attention.