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Hope Charter School Initial Application for Enrollment

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Student Information
First Name (*)
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Middle Name
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Last Name (*)
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Street Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Age (as of August 31, 2014) (*)
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Date of Birth (*)
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Gender (*)
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Grade (2014-2015 school year) (*)
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Sibling currently enrolled at Hope?
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Sibling Name(s) and Grade(s)
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Name of Previous School Attended (if student is 1st-5th)
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Parent/Guardian Information
Mother's Full Name (*)
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Mother's Address
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Mother's Cell Phone Number
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Mother's Home Phone Number
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Mother's Email Address
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Father's Full Name (*)
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Father's Address
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Father's Cell Phone Number
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Father's Home Phone Number
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Father's Email Address
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Application Confirmation Email (*)
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