Preparatory School Application

Parent Information

Parent Name(*)

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Address(*)

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Phone(*)

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Secondary phone

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Email(*)

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Tuition assistance(*)

Yes, I am applying for tuition assistance.
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Student Information

Student name(*)

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Current school(*)

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Current grade(*)

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Birthdate(*)

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Gender

Male Female Neutral / non-binary Invalid Input

Student Essay(*)

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Emergency contact information

Name

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Phone

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Doctor’s name

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Doctor’s phone

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I am human(*)

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Main Street Scholars

60 Stone Pine Road, Suite 200
Half Moon Bay, CA 94019
650.440.4725
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