All Questions are Mandatory for Enrollment

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* 1. What is your student ID #?

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* 2. What is your last name?

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* 3. What is your first name?

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* 4. What is your gender?

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* 5. What is your date of birth?

DOB

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* 6. What is your age?

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* 7. In which grade are you enrolled for 2018-19?

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* 8. How do you self-identify?

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* 9. What is your ethnicity?

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* 10. What is your home address?

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* 11. Which High School do you attend?

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* 12. What is your cell phone number?

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* 13. What is your email address?

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* 14. How do you prefer we contact you?

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* 15. Are you eligible for Free & Reduced Lunch at the CMS school you attend?

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* 16. What is your expected date of graduation?

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* 17. What are your plans after graduation?

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* 18. Which class would you like to join for the 2nd Trimester? Select 1st Choice!

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* 19. Select 2nd Choice. Please do not select same class because if it is full, Studio 345 will have to select a 2nd choice for you.

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* 20. How did you hear about Studio 345? Please select all that apply.

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* 21. What mode of transportation will you use to get to Studio 345?

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* 22. Are there any barriers that will keep you from participating? Please select all that apply.

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* 23. Are you currently under a physicians care because of a learning disability, behavioral or mental diagnosis.  If so, please describe in detail so we can better serve your needs at Studio 345.

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* 24. What is your parent/legal guardian's first name?

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* 25. What is your parent/legal guardian's last name?

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* 26. What is your parent/legal guardian's cell phone number?

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* 27. What is your parent/legal guardian's work phone number?

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* 28. What is your parent/legal guardian's home phone number?

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* 29. What is your parent/legal guardian's email address?

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