Application for Admission

Student Information

 Yes  No

If a foreign citizen, will an I-20 Immigration Form be needed? If Yes, please complete I-20 Application in addition to this form.

 Mother & Father  Mother  Father  Legal Guardian
 Yes  No

Parent/Guardian Information

Mother

Father

Legal Guardian (if not Mother or Father)

Student's Siblings

Grandparents (Maternal)

Grandparents (Paternal)

General Information

Parents often have clues to their child's behavior and performance which make school records and recommendations easier to understand. Please complete the following:

 Yes  No
 Yes  No
 Yes  No

Note: Students entering Grades 1-12 need teacher reccomendations from current school. Recommendation forms will be required before enrollment is complete.

Medical Information

 Yes  No
I certify that the information given in this application is complete and accurate, and I understand to make false statements within this application may result in withdrawal of admission.

The Crenshaw School open admission policy does not discriminate on the basis of Race, Sex, Religion, or Ethnic Origin.


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