New Student Intent to Register

Child Name*

Grade

Gender*

Date of Birth

S.S.#

School

Number of siblings

Attend Universal Before?

In Special Education Program?

In ESL Program?

Native Language*

Father Name*

Occupation

Phone Number*

Mother Name*

Occupation

Phone Number*

E-mail*

Address*

The following items must be complete and turned in to consider your application for admission for 2nd grade to 9th grade.

1- Complete and return admission form.

2- Copies of your child’s standardized test results for the past two years if applicable.

3-Copies of report cards or transcripts for the past two years.