Incoming 6th grade ENROLLMENT APPLICATION FOR SCHOOL YEAR 2018-2019

Enrollment Application for School Year 2019-2020 CURRENT 5th GRADE STUDENTS ONLY

WWW.HAMMONDACADEMY.ORG 219-852-0500
ALL APPLICATIONS NOW ACCEPTED WILL AUTOMATICALLY BE PLACED ON THE WAIT LIST.
I WANT TO CONTINUE WITH THIS APPLICATION TO BE PLACED ON THE WAIT LIST FOR THE 2019-2020 SCHOOL YEAR

YES NO

THANK YOU! IF YOU WOULd LIKE TO FILL OUT A GENERAL APPLICATION FOR STUDENTS CURRENTLY IN GRADES 6-12 FOR THE 2018-2019 SCHOOL YEAR, PLEASE FILL OUT THE APPLICATION BELOW:

APPLICATION FOR CURRENT GRADES 6-12

HOME ADDRESS: *

CURRENT GRADE: *
ARE ANY SIBLINGS CURRENTLY ATTENDING HAST? *

YES NO
IF YES, LIST NAME(S) & GRADE(S):
STUDENT RESIDES WITH: *

FATHER & MOTHER MOTHER FATHER OTHER
NAMES OF SIBLINGS LOOKING TO ATTEND: *
NOTE: SEPARATE APPLICATION MUST BE FILLED OUT FOR EACH CHILD
CURRENT SCHOOL: *
SCHOOL DISTRICT IN WHICH YOU CURRENTLY RESIDE: *
CURRENT SCHOOL ADDRESS: *
PARENT OR GUARDIAN INFORMATION
*

FATHER MOTHER GUARDIAN
LAST NAME: *
FIRST NAME: *
MIDDLE INITIAL: *
TELEPHONE #:

- Area Code Phone Number
CELL #:

- Area Code Phone Number
WORK #:

- Area Code Phone Number
EMAIL: *
WORK NAME AND ADDRESS: *
HOW DID YOU HEAR ABOUT HAMMOND ACADEMY OF SCIENCE & TECHNOLOGY?
FATHER MOTHER GUARDIAN
LAST NAME:
FIRST NAME:
MIDDLE INITIAL:
TELEPHONE #:

- Area Code Phone Number
CELL #:

- Area Code Phone Number
WORK #:

- Area Code Phone Number
EMAIL:
WORK NAME AND ADDRESS:
Please submit student application by January 25, 2019, in order to be included in the lottery process. Please be advised all Applications submitted after January 25, 2019, will automatically be added to the wait list. Please contact the main office should you have any questions.

Para asegurar puesto en el proceso de la loteria por favor llene esta solicitud de inscripcion antes de Enero 25, 2019, para cada estudiante en quinto grado. Por favor de comunicar todas sus preguntas directamente a la oficina.
Should be Empty:

Enrollment Application for School Year 2019-2020 CURRENT 5th GRADE STUDENTS ONLY