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Community Connections High School
Real World Learning .... One Student at a Time


Application for Admission


Student's Last Name:  
Student's First Name:  
Student's Middle Name:  
Address:  
City:  
State:  
Birth Date:  
Gender:  
Male Female
Current School:  
Parent(s)/Guardian(s):  
Home Phone:  
Work Phone:  
Cell Phone:  

I hereby give permission for my son/daughter to apply to Community Connections, Big Picture High School.

Parent/Guardian Signature:  
Date: