SurveyMonkey Powered Online Survey

2022-2023 BUFFALO PUBLIC SCHOOLS APPLICATION
Frederick Law Olmsted #156 &
City Honors School at Fosdick-Masten Park #195

This application must be completed for all students who want to be considered for admission to Frederick Law Olmsted #156 (grades 5-12)
and /or City Honors School #195 (grades 5-9)

Question Title

* 1. Applying for grade?

Question Title

* 2. Current School (2021-2022)

Question Title

* 3. Previous School (2020-2021)

Question Title

* 4. Current School City/State/Zip

City/Town

State/Province

ZIP/Postal Code

Question Title

* 5. Student Name

Last

First

Middle Initial

Question Title

* 6. Date of Birth

Please enter DOB in MM/DD/YYYY format

Date

Question Title

* 7. Gender

Female

Male

Non-Binary

Question Title

* 8. Student ID (Not SSN)

Question Title

* 9. Twin

Yes

Question Title

* 10. Is the student Hispanic, Latino, or of Spanish origin?

Yes

Question Title

* 11. Race

American Indian or Native Alaskan

Asian

Black

Native Hawaiian or other Pacific Islander

White

Question Title

* 12. Student Address

Question Title

* 13. Apt Number

Question Title

* 14. City/Town

Question Title

* 15. State

Question Title

* 16. Zipcode

Question Title

* 17. Parent/Caregiver Info

Last Name

First Name

Cell Phone Number

Question Title

* 18. Parent/Caregiver Home Phone

Question Title

* 19. Parent/Caregiver Email

Question Title

* 20. Does the student receive 504/ADA (American Disability Act) services?

Yes

Question Title

* 21. Does the student currently receive special education services?

Yes

Question Title

* 22. If so, what level service?

Question Title

* 23. Does the student speak or understand a language other than English?

Yes

Question Title

* 24. If so, what other language is spoken in the home?

Question Title

* 25. Has this student ever received ENL (formerly ESL) or bilingual services?

Yes

Attachments and Acknowledgement

NON-BPS APPLICANTS ONLY (i.e., those who attend charter, parochial, private schools, or are home schooled) must upload the following documents to the online application; if required documents are not produced and verified, student will be denied access to the admissions test.