Applicant Information
*
Student First Name
*
Student Last Name
*
Grade Needed
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
*
Student Birthdate
*
Gender
Female
Male
Family Information
*
Parent First Name
*
Parent Last Name
*
Relationship to Applicant
Tutor
Parent
Other Relative
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Email Address
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Preferred Phone Number
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Preferred Phone Type
Home Phone
Cell Phone
Work Phone
*
Best Time to Call
Street Address
City
State
Zip Code
Country
Scholastic Information
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Current Type of School
Regular Public
Regular Private
Home School
Online School
Independent Study
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Student Needs
Advanced/Gifted
Athlete
Actor/Actress
Challenge/Disability
Group Program
Homeschooling
Living Abroad
No Specific Need
Tentative Enrollment Type
Full Time-4 or more courses
Part Time-3 or less courses
*
Last Level of Math Taken
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade w/o Pre-Algebra
7th Grade w/ Pre-Algebra
7th Grade w/ Algebra 1
8th Grade w/ Pre-Algebra
8th Grade w/ Algebra 1
8th Grade w/o Algebra 1
Algebra 1
Honors Algebra 1
Geometry
Honors Geometry
Algebra 2
Trigonometry
Honors Trigonometry
Pre-Calculus
Calculus
Honors Calculus
Practical Math
General Math
Survival Math
Special Education
Pre-Algebra
Taking Math Skills Survey
Unknown
Post-Secondary Goals
*
Planning to Graduate from Paolo Prep Academy
Yes
No
*
Type of College/University student is interested in attending
Community College
Employment
Four Year College/University
High School Graduation
Vocational Training
*
Colleges/Universities student in interested in
Additional Information
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How did you first hear about us
Internet Search/Online
Personal Referral/Friend
Event
Print Ad
Counselor/Professional/Group
Other
If "Event" or "Other", please specify
*
Student's hobbies or interests
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What motivates your student?
Check this box if you would like to register an additional student
Applicant 2 Information
Student 2 First Name
Student 2 Last Name
Grade Needed
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 2 Birthdate
Gender
Female
Male
Scholastic Information
Current Type of School
Regular Public
Regular Private
Home School
Online School
Independent Study
Student Needs
Advanced/Gifted
Athlete
Actor/Actress
Challenge/Disability
Group Program
Homeschooling
Living Abroad
No Specific Need
Tentative Enrollment Type
Full Time-4 or more courses
Part Time-3 or less courses
Last Level of Math Taken
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade w/o Pre-Algebra
7th Grade w/ Pre-Algebra
7th Grade w/ Algebra 1
8th Grade w/ Pre-Algebra
8th Grade w/ Algebra 1
8th Grade w/o Algebra 1
Algebra 1
Honors Algebra 1
Geometry
Honors Geometry
Algebra 2
Trigonometry
Honors Trigonometry
Pre-Calculus
Calculus
Honors Calculus
Practical Math
General Math
Survival Math
Special Education
Pre-Algebra
Taking Math Skills Survey
Unknown
I am interested in completing my course(s) over the Summer
Post-Secondary Goals
Planning to Graduate from Paolo Prep Academy
Yes
No
Type of College/University student is interested in attending
Community College
Employment
Four Year College/University
High School Graduation
Vocational Training
Colleges/Universities student in interested in
Additional Information
Student's hobbies or interests
What motivates your student?
Relationship to Applicant
Please describe your situation and how we may help.
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