Bridge to Success Academy Middle
Who is completing this application?
Parent/Legal Guardian
Student (Must be 18 years or older)
School Counselor (Written parent/guardian consent required)
Other (Proof of legal standinf to submit application required)
What was the last grade that your scholar successfully completed? (You must have a copy of the final report card.)
Student's Name
First Name
Last Name
DCPS Student Number
Student's Date of Birth
-
Month
-
Day
Year
Date
Student's Current Age
Sex:
Please Select
Male
Female
Has this student ever attended The Bridge to Success Academy program? If yes, please list the school year attended.
Please list schools your student attended during the 2025-2026 school year and list dates of attendance. (This includes any private, charter, virtual, home, or DCPS school.)
What grade was your scholar enrolled in during the current academic year 2025-2026.
Do you have current copies of student transcript/report card, IEP/504 plans, immunization records? (*You will not be able to proceed with enrollment if documents are not submitted to the school at the time of an interview. This is for non-DCPS scholars.)
Please Select
Yes
No
Parent or Guardian's Name
First Name
Last Name
Parent's Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent's Email
example@example.com
Does the student applying have a sibling/or relative applying at The Bridge to Success Middle School? If yes, please provide their name, grade and relationship i.e. brother or cousin
Back
Next
Focus Account/Portal
The Primary Parent/Guardian who is applying on behalf of the student must have access to the Parent Focus Portal of the student. Disclaimer: If the Primary Parent/Guardian does not have access to the Parent Focus Portal this may hinder their ability to move forward or delay their student’s acceptance into the program.
THE BRIDGE TO SUCCESS ACADEMY DECLARATION I confirm that, to the best of my knowledge, the information provided in this form is correct. I understand and agree to abide by all the school rules, including but not limited to, uniform policy, school discipline policies, inter-school/city transfers, cell phone confiscation, and program expectations. Furthermore, I agree that the student may participate in the Bridge to Success dropout prevention program if selected.
*
Yes, I confirm.
BTSA School Tour and Interview
Please choose a date to attend a school tour and interview. This is a mandatory requirement for each applicant. Interviews begin February 3rd!
Appointment
Schedule
Should be Empty: