Only complete applications will be included in our lottery.

* 1. Student's Name

* 3. Student Email Address

* 4. Student Cell Number

* 8. If 'Yes', list sibling's name and grade (or year graduated)

* 9. Current School

* 10. Home High School

* 11. School District (if not NEISD)

* 12. NEISD Student ID Number

* 13. Date of Birth (MM/DD/YY)

* 14. Ethnicity

* 16. Home Address

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