The Myrtle Beach STEM Academy Student Application Form

The Myrtle Beach STEM Academy Student Application Form
Academic Year
Grade Applying For
STUDENT INFORMATION
Full Name
Date of Birth

MonthDayYear
Date
Gender:

MaleFemalePrefer Not to Say
Current School
Current Grade Level
Students Primary Language
Is your student identified as Gifted and Talented (G/T?)

YesNo
*Middle School Our school offers STEM-focused pathways to help students prepare for future careers. Please select your Choice(s) for your pathway (Choose all that apply)

Law and Global PoliticsEngineeringPre-MedicineDanceEntertainment and Digital Technology
*Middle School and High School Preferred Learning Style or Work Environment. How do you learn best? (Choose all that apply)

Hands-on (labs, projects, building)Visual (videos, diagrams, demonstrations)Reading/WritingDiscussion BasedDigital or Tech-integratedPerformance based
HOME ADDRESS
Street Address
City
State
ZIP Code
PARENT/GUARDIAN INFORMATION
Full Name
Relationship to Student
Phone Number
Email Address
example@example.com
Parent/Guardian 2 (if applicable):
Full Name
Relationship to Student
Phone Number
Email Address
example@example.com
Has your child previously applied to this school?

YesNo
If yes what year
Has your child ever been suspended or expelled from any school(s)

YesNo
If yes, please explain
Please briefly tell us why you want your child to attend our charter school and how you believe they would benefit from our learning environment
How did you hear about us?

Online SearchSocial MediaSchool Event
REQUIRED DOCUMENTS (Submit when accepted)

Copy of Birth Certificate

Proof of Residency (utility bill, lease, etc)

Most Recent Report Card

IEP or 504 Plan (if applicable)
Please read and acknowledge the following

Submission of this application does not guarantee admission to the school. All applications will be reviewed based on our enrollment policies, available space, and applicable charter school regulationsThis application is only considered complete when all required documents have been submitted. Incomplete applications may delay the review process orbe excluded from consideration.All information provided must be true and accurate. Any false or intentionally misleading information may result in disqualification from the application process or dismissal from the school if discovered after enrollment.If your child is accepted, you will receive an official offer of enrollment with instructions for next steps, including submitting proof of residency, immunization records, and additional enrollment forms.The school does not discriminate on the basis of race, color, national origin, sex, disability, religion, sexual orientation, or any other protected category in its admissions or any other school-administered programs
I have read and understand the legal and enrollment disclaimer above.

I affirm that the information provided in this application is accurate to the best of my
I certify that all the information provided in this application is accurate and complete to the best of my knowledge. I understand that submission of this application does not guarantee admission
ParentGuardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

The Myrtle Beach STEM Academy Student Application Form

STUDENT INFORMATION

HOME ADDRESS

PARENT/GUARDIAN INFORMATION