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2016-2017 STUDENT APPLICATION Date of Application FOR OFFICE USE ONLY All questions must be answered before the application can be processed. New Student s Returning Student s Date Received Grade Placement BASC Registration Fee Resource Fee STUDENT INFORMATION NAME AGE BIRTHDATE GENDER GRADE 2016-2017 FAMILY INFORMATION Father/Guardian s Full Name Email Home Address Occupation Employer Home Work Cell Marital Status of Parents Married Divorced Separated Widowed Single Person Responsible for...

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