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CIA Application Form

Student Phone

Has the applicant ever received special education services?
Does your child speak English?

Most Recent School Attended

Second Recent School Attended

Has the applicant ever repeated a grade?
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Parent/Guardian One

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Phone Number

Parent/Guardian Two

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Phone Number

Does the applicant have any siblings?
The school use social media platforms to show school events and activities. Is your child's picture allowed to be on the school's social media platform?

SIGNATURE

Thanks for filling in the application form!

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