Thank you for your interest in attending New Crossroads Academy. This eligibility and waitlist questionnaire is the first step to enrolling at our Academy. The following questions will help us begin to determine your eligibility for the New Crossroads Academy program. Please answer the questions to the best of your ability.

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* 1. Please provide the Full Legal Name of the student interested in enrolling with New Crossroads Academy.

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* 2. Please provide a contact phone number.

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* 3. Please provide a contact email address

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