New Student Application FormApplicat
Progress: Enter data in the Form ->Review form->Submit

* Click 'Next' to go to the next step.
* Click page number to go to the page.
* You can save the form by clicking the 'Save' button and return to complete the form before the due date.
* Click 'Cancel' to discard changes made in this page
* Click 'Delete' to delete the form being entered.
    1     2     3     4       Review    
Applicant Information

We request that the following children be admitted for the 2024-2025 School Year:

Student 1 Name *
First Name * Middle Name Last Name *
Sibling of existing student?


Student's Address
Address1 * Address2 City * State * Zip * Country
Gender *


Date of Birth *
Sept 1st is the birthday cut off for grade placement.
- -
MM * DD * YYYY *
Grade, Fall of 2024 *
Race *
Ethnicity *
Religion *


Primary language spoken at home
Schools Previously Attended
Please include Year, Grade, Name of School, School's Address, City, Zipcode
Student 2 Name
First Name Middle Name Last Name
Sibling of existing student?


Student's Address
Address1 Address2 City State Zip Country
Gender


Date of Birth
Sept 1st is the birthday cut off for grade placement.
- -
MM DD YYYY
Grade, Fall of 2024
Race
Ethnicity
Religion


Primary language spoken at home
Schools Previously Attended
Please include Year, Grade, Name of School, School's Address, City, Zipcode
Student 3 Name
First Name Middle Name Last Name
Sibling of existing student?


Student's Address
Address1 Address2 City State Zip Country
Gender


Date of Birth
Sept 1st is the birthday cut off for grade placement.
- -
MM DD YYYY
Grade, Fall of 2024
Race
Ethnicity
Religion


Primary language spoken at home
Schools Previously Attended
Please include Year, Grade, Name of School, School's Address, City, Zipcode
Student 4 Name
First Name Middle Name Last Name
Sibling of existing student?


Student's Address
Address1 Address2 City State Zip Country
Gender


Date of Birth
Sept 1st is the birthday cut off for grade placement.
- -
MM DD YYYY
Grade, Fall of 2024
Race
Ethnicity
Religion


Primary language spoken at home
Schools Previously Attended
Please include Year, Grade, Name of School, School's Address, City, Zipcode
    1     2     3     4       Review    
 
124 S San Dimas Canyon Rd, San Dimas, CA 91773
Phone: (909) 542-0449
Fax: 909- 592-3884
2024 SchoolSpeak. All rights reserved.