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Request an Admission Packet
Please complete and submit the request form below and an admission packet will be mailed to you.
* Denotes required field
*Applicant's First Name:
*Applicant's Last Name:
*Applicant's Gender:
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F
M
Applicant's Ethnicity:
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for multiple selections
(
Cmd-Click
on the Mac).
Please select all that apply.
African American
Asian American/Pacfic Islander
Caucasian
Hispanic/Latino
Middle Eastern American
Multiracial
Native American
Other
*Applicant's Current School:
Current Grade:
Please choose
5
6
7
8
9
10
11
*Applying to Grade:
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6
7
8
9
10
11
12
*Applying to begin in the fall of:
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2009
2010
2011
*Parent's First Name:
*Parent's Last Name:
*Parent's Email:
*Home Address (Street):
*Home Address (City):
*Home Address (State):
*Home Address (ZIP/Postcode):
Home Address (Country):
*Home Phone (including Area Code):
Please mail me a Financial Aid packet
Please mail me information on Learning Resources and Language Training, which supports students with learning challenges
Applicant is a sibling of a current University Prep student
How did you hear about University Prep?
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Family/Friend
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