Student Email Student Mobile Phone Parent/Guardian Name(s) Parent Parent/Student Landline Phone Parent Other Phone Student ethnicity-OPTIONAL Check: ☐Hispanic/Latino ☐American Indian/Alaska Native ☐Asian ☐Black/African American ☐Native Hawaiian/Pacific Islander ☐White ☐ Two or more races HIGH SCHOOL INFORMATION School Name School District Number School Address City/State/Zip School Phone Number School Principal’s Name School Counselor’s Name Current Grade: 10th 11th (Circle one) I certify that the information I have given is true to the best of my knowledge. If I am accepted to Perpich Arts High School, I agree to comply with all regulations of the school and to review the student handbook and agree to the terms therein. Officials of the school may use information from this form. Any misrepresentation on the part of the applicant is cause for non-acceptance, and or cancellation of acceptance. All documents submitted in support of the application become property of the school and are not returnable or transferable. My signature below indicates that all the information in my application is complete, factually correct and honestly presented. SIGNATURES (All signatures are required for a complete application.) Student signature Date Parent/guardian signature Date For Office Use Only: Art Area of Interest and Admission Review Please choose an art area in which to apply by checking the appropriate box below under Area of Interest. If you are interested in more than one area, YOU MUST contact for approval PRIOR TO submitting your application. Under no circumstances may more than two areas be chosen. Area of Interest: (SUBJECT TO AVAILABILITY)
Student Email Student Mobile Phone Parent/Guardian Name(s) Parent Parent/Student Landline Phone Parent Other Phone Student ethnicity-OPTIONAL Check: ☐Hispanic/Latino ☐American Indian/Alaska Native ☐Asian ☐Black/African American ☐Native Hawaiian/Pacific Islander ☐White ☐ Two or more races HIGH SCHOOL INFORMATION School Name School District Number School Address City/State/Zip School Phone Number School Principal’s Name School Counselor’s Name Current Grade: 10th 11th (Circle one) I certify that the information I have given is true to the best of my knowledge. If I am accepted to Perpich Arts High School, I agree to comply with all regulations of the school and to review the student handbook and agree to the terms therein. Officials of the school may use information from this form. Any misrepresentation on the part of the applicant is cause for non-acceptance, and or cancellation of acceptance. All documents submitted in support of the application become property of the school and are not returnable or transferable. My signature below indicates that all the information in my application is complete, factually correct and honestly presented. SIGNATURES (All signatures are required for a complete application.) Student signature Date Parent/guardian signature Date For Office Use Only: Art Area of Interest and Admission Review Please choose an art area in which to apply by checking the appropriate box below under Area of Interest. If you are interested in more than one area, YOU MUST contact for approval PRIOR TO submitting your application. Under no circumstances may more than two areas be chosen. Area of Interest: (SUBJECT TO AVAILABILITY)
APPLICATION_2018-19.docx