APPLICANT INFORMATION
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Applicant Name:
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Nickname:
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Current Grade Level:
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Grade Applying to:
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Year Applying:
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If applying to Pre-Kindergarten, please select:
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Full Day 1/2 Day
2 Days 3 Days 5 Days
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Please Select:
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Male Female |
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Date of Birth:
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Place of Birth:
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US Citizen:
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Yes No |
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Home Address:
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City:
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State:
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ZIP:
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Home Phone:
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Cell Phone:
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Work Phone:
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APPLICANT'S SCHOOL INFORMATION
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Present School:
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Grade:
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Previous School:
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Grade:
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Years:
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Previous School:
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Grade:
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Years:
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FAMILY INFORMATION
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Parent/Guardian 1:
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Full Name:
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Gender:
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Male Female |
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Relationship to Student:
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Has Custody of Child?:
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Yes No |
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Home Address:
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Home Phone:
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Cell Phone:
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Email Address:
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Business Name:
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Postion/Title:
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Business Address:
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Business Phone:
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TPS Alum:
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Yes No |
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Class of:
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Parent/Guardian 2:
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Full Name:
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Gender:
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Male Female |
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Relationship to Student:
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Has Custody of Child?:
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Yes No |
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Home Address (if different than applicant):
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Home Phone:
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Cell Phone:
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Email Address:
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Business Name:
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Postion/Title:
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Business Address:
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Business Phone:
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TPS Alum:
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Yes No |
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Class of:
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Parents/Guardians are:
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Married Single Separated Divorced
Domestic Partnership Mother Deceased Father Deceased
Mother Remarried Father Remarried |
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If parents are remarried, please supply name of spouse(s):
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To whom should admission correspondence be sent?
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Siblings of Applicant:
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Name:
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Date of Birth:
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Grade:
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School:
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Name:
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Date of Birth:
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Grade:
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School:
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Name:
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Date of Birth:
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Grade:
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School:
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Names of any relatives who have attended TPS (Name, Relationship to Applicant, Class):
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CANDIDATE INFORMATION
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Please indicate any special interests, activities or abilities the applicant has. This can include art, athletics, community service, dance, music, etc.
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Has the applicant skipped any grades? If yes, please explain why:
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Has the applicant been dismissed, suspended from or denied readmission to any school for any reason? If yes, please explain why:
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Please share any conditions or special circumstances which may impact the applicant's full participation in the school's academic, athletic, or arts program:
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Is there any information which you feel may be of value in assessing the applicant's application and likelihood of success at the school?
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Referred By:
Word of Mouth Newspaper Yellow Pages Radio Other |
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Enter the characters that appear in this image: |
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All fields Required
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