Free Alternative School Admission Form Template

Alternative School Admission Form

Please fill out the form below to apply for admission to our school.

Student Information

Name

    Date of Birth

      Gender

      • Male

      • Female

      Home Address

        Phone number

          Emergency Contact

          Name

            Relationship to Student

              Phone number

                Email

                  Academic Background

                  Last School Attended

                    Grade/Level Completed

                      Reason for Transfer to Alternative School

                        Does the student require additional support?

                        Student Declaration

                        I, (Student Name), hereby declare that the information provided above is accurate to the best of my knowledge.

                        Date:

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