Northgate Academy Admission Application (2)

Northgate Academy Admission Application
First and Last Name
Date of Birth

MonthDayYear
Date
Current Grade Level
Applying for Grade
City, State, ZIP: Phone Number
Address

Home Address

Street Address Line 2

City State ZIPState / Province

Postal / Zip Code
Email Address
example@example.com
Parent/Guardian Name(s): Relationship to Applicant: Phone Number
ParentGuardian Names
Relationship to Applicant
Email Address
example@example.com
Current School Name
School Address
School Phone Number
Principal of School
Current GPA (if applicable): Standardized Test Scores (if applicable): Favorite Subjects:
Current GPA if applicable
Standardized Test Scores if applicable
Favorite Subjects
Extracurricular Activities Clubs Sports Arts Community Service Leadership Roles etc
Honors and Awards List any academic athletic artistic or community awards
Short Answer Questions: (Please answer the following questions in 3-5 sentences each
1 Why do you want to attend Northgate Academy
2. Describe a challenge you have faced and how you are working to overcome it or have
2 Describe a challenge you have faced and how you are working to overcome it or have overcome it
3 What are your academic and career goals
Essay Section: (Choose ONE of the following prompts and write a 250-500 word response

Describe a person who has significantly influenced your life and how they have impacted
Describe a person who has significantly influenced your life and how they have impacted you
Discuss a book, event, or experience that shaped your
Discuss a book event or experience that shaped your perspective
Explain how you can contribute to the school community
Additional Information Any other details you would like to share with the admissions committee
Signature: I certify that the information provided in this application is accurate and complete to the best of my knowledge.
Student Signature

Clear
Date

MonthDayYear
Date
ParentGuardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty: