RYSS Early College Application

Student Information
Student Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Race*
Ethnicity*
School District of Residence
What Grade Are You Applying For?
Voluntary Information
Providing a SSN is voluntary and used to match a student's Unique ID
through the Texas Student Data System. If you do not wish to supply the
SSN, please supply the SSN. If no SSN exists, one will be generated.
My child has never been enrolled in Texas public schools.

YesNo
Social Security Number
Student Identification Number
I have another child attending this school.

YesNo
This is a child of a school staff or board member.

YesNo

Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Were you referred by one of you current families?
By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.*

Certify
This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability.
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Early College STEM Academy