Clone of Bridge to Success Academy Middle Student Application 2026-2027

Parent/Legal GuardianStudent (Must be 18 years or older)School Counselor (Written parent/guardian consent required)Other (Proof of legal standinf to submit application required)

Do you have a copy of your child's report card showing their last grade promotion?

Student's Name

First NameLast Name

DCPS Student Number

Student's Date of Birth

Date

Student's Current Age

Sex:

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.)

Parent or Guardian's Name

First NameLast Name

Parent's Phone Number

Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / 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

Bridge to Success Academy Middle

Focus Account/Portal

BTSA School Tour and Interview