Student Application – The Meraki School

Student Application for The Meraki School

Student's First Name

Student's Last Name

Student's Gender

Date of Birth (YYYY-MM-DD)

Street Address

City

State

Postal Code

Requested Academic Year

Student's Current Grade

Student's Requested Grade

Previous School(s)

Parent/Guardian's First Name

Parent/Guardian's Last Name

Relationship to Student

Email

Phone Number

Second Parent/Guardian

Same Home Address as the Student

Phone Number

Email

Siblings (If any)