Exit MERSD 2021-2022 School Choice Lottery Application Question Title * 1. Student's Name: Question Title * 2. Student's Gender: Male Female Question Title * 3. Grade applying to for Fall 2021: K 1 2 3 4 5 6 7 8 9 10 11 12 Question Title * 4. Student's Birth Date: MM/DD/YYYY Date Question Title * 5. Student's Home Phone Number: Question Title * 6. Student's Home Address: Question Title * 7. Is student applicant a SIBLING OF A CURRENT choice student? Yes: No: Question Title * 8. If yes to question 7, current choice student's name, grade and school: Question Title * 9. Student's present school, grade level, and city/town of residence: Question Title * 10. Name(s) and age(s) of the siblings who do not attend MERSD: Next
