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ACE AMANDLA APPLICATION
Please fill out the information below to apply to be the newest member of the ACE Amandla Community!
schoolId
School Applying To
Parent relationship
preferred contact
source
language
leadid
Date
-
Month
-
Day
Year
Date
Enrollment Year
*
Please Select
2023-2024
2024-2025
Student Name
*
First Name
Middle Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Student's Cell Phone
Please enter a valid phone number.
Student's Email
*
example@example.com
Student's Sex
*
Please Select
Male
Female
Prefer Not to Answer
Student's Race (Select One)
*
Please Select
Black/African American
Hispanic/Latino
White
American Indian
Asian
Pacific Islander
Other
Name of Previous School
*
Last Grade Completed
*
Please Select
8
9
10
11
12
How did you hear about ACE Amandla? (Select One)
*
Please Select
Google Search
Schola
Student Referal
Counselor Referal
Social Media (please enter which platform below)
School Fair/Visit
School Website
Mailer
Neighborhood Resident
Niche
Other (please enter source below)
Please provide further detail about where you heard about Ace Amandla
Of the 3 ACE (Architecture, Construction, Engineering) concentrations, which one is your student most interested in?
*
Architecture
Construction
Engineering
Does your student have an IEP and/or 504 Plan?
*
IEP
504 Plan
IEP & 504 Plan
Neither
Contact Information
Parent/Guardian #1
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Does the student live with you?
*
Yes
No
Would you like to add another parent/guardian?
*
Yes
No
Parent/Guardian #2
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Does the student live with you?
*
Yes
No
Submit
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