Student Application

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Name:*
Address:*
Phone:
-
Sex
Ethnicity
Birth Date
 / 
 / 
Email
Current School
Current Grade:*
GPA:*
Will you need Bus Transportation?*
Arts Programs of Interest*
Parent / Guardian Name:*
Parent/Address:*
Parent/Guardian Email:
Parent/Guardian Cell*
-
Parent/Guardan Work #*
-
Parent's Digital Signature (Type full name)*

 

 

2 You may also fill out the form, save it and email it back to us at:
admissions@xcellenceacademy.com

3 .You may also download the form, print it, fill it out and return it by regular mail to us at: Excellence Academy, 811 Washington Street, Monroe, La. 71201