Online Admissions Application Due Friday, January 31, 2020 Step 1 of 6 - Future Ram Information 0% Student Status*DomesticInternationalBiographical InformationStudent Name* First Middle (Complete) Last Name you prefer to be calledStudent GenderMaleFemaleSocial Security NumberStudent Date of Birth Date Format: MM slash DD slash YYYY Birthplace City State / Province / Region Student Mailing Address Street Address City State / Province / Region ZIP / Postal Code Home PhoneReligion*Church/ParishEthnic Origin (optional) African American Asian American/Pacific Islander Caucasian Hispanic/Latino Native American (Indian, Eskimo, Hawaiian) Multiracial Other If otherWhat language is spoken in the home?*Do you plan to apply for tuition assistance?* Yes No If yes, please make sure you fill out the Tuition Assistance Application. Current Education InformationCurrent School NameCurrent GradeCurrent School Address* Street Address City State / Province / Region ZIP / Postal Code Current School Phone NumberCurrently on an IEP or 504* Yes No Please provide a copy of your IEP or 504I'd like to upload it nowI'll bring it in laterIEP or 504 upload* Drop files here or Accepted file types: jpg, pdf. You can upload files in jpg or pdf format Parent/Guardian InformationMotherMotherParent/Guardian Name First Middle Last Address Same As Student Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Cell PhoneEmail Address Birth DateMaiden NameReligionOccupationPlace of BusinessWork Address Street Address City State / Province / Region ZIP / Postal Code Work PhoneGarces Alumni?YesNoIf yes, Class ofPlease enter a number greater than or equal to 1947.Marital Status Married Separated Divorced Deceased Parent/Guardian #2 InformationFatherFatherParent/Guardian Name First Middle Last Address Same As Student Address Street Address City State / Province / Region ZIP / Postal Code Cell PhoneEmail Address Birth DateReligionOccupationPlace of BusinessWork Address Street Address City State / Province / Region ZIP / Postal Code Work PhoneGarces Alumni?YesNoIf yes, Class ofPlease enter a number greater than or equal to 1947.Marital Status Married Separated Divorced Deceased Emergency ContactName First Last RelationEmergency Contact PhonePhyscian's Name First Last Physician's Phone SiblingsName Name Age School/Colllege Garces Alumni?YesNoIf yes, Class ofName Name Age School/Colllege Garces Alumni?YesNoIf yes, Class ofPlease enter a number greater than or equal to 1947.Name Name Age School/Colllege Garces Alumni?YesNoIf yes, Class ofPlease enter a number greater than or equal to 1947.Other Alumni RelativesName Name Relation Class Year Name Name Relation Class Year Name Name Relation Class Year Name Name Relation Class Year Name Name Relation Class Year Name Name Relation Class Year Application Fee* Price: $75.00 Credit Card* Card Details Cardholder Name Billing Email* This iframe contains the logic required to handle Ajax powered Gravity Forms.
