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Fields with (*) are required.

• Year:* 2018 - 2019 2019 - 2020
• Date:*
• Student First Name:*
• Student Last Name:*
• Student Middle Name:
• Gender:* Male Female
• Age:*
• Date Of Birth:*
• Address:*
• City:*
• State:*
• ZIP:*
• Home Phone:*
• Cellular Phone:*
• Alternate Phone:
• Primary Guardian:*
• Relationship:*
• Email:*
• What is your preferred method of contact?:* Phone Call Email Letter
• In 2019 - 2020, what grade will your scholar be in?:* What grade is your scholar entering in the 2018 - 2019 school year?:* K 1st 2nd 3rd 4th 5th
• Is your scholar currently enrolled in a Pre-K or Preschool program?:* Yes No
• Current School: *
• Current Grade:*
• Language spoken at home: *
• Secondary Language:*
• Does the Scholar have a special education IEP, 504, or Speech and Language Plan?:* (To ensure a continuation of service) Yes No
• Type of services provided?: *
• Does the scholar currently receive ESL services?* Yes No
• Does the scholar on this application have a sibling (or) relative currently enrolled at Aurora?:* Yes No
• If Yes, please name(s) and grade(s) above: *
• Does the scholar have a sibling (or) relative who has submitted an application at Aurora?:* Yes No
• If Yes, please name(s) and grade(s) above: *
• If Yes, please name(s) and grade(s) above: *
• How did you hear about Aurora College Academy?:*
  Mailing
  Word Of Mouth
  Recommended by an Aurora Family
  Radio/Television Advertisement
  Charter School Fair
  Recruited by an Aurora Staff Member
• I Agree to Terms and Conditiions:*