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ASPIRA of Illinois – Leadership Through Education
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ASPIRA Haugan Middle School
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School Enrollment Application
School Information / Información de la escuela
Select the School you are interested in applying to:
*
Please select an option
Select a School
ASPIRA Haugan Middle School
ASPIRA Early College High School
ASPIRA Antonia Pantoja High School (Must be 16 to apply)
ASPIRA Business and Finance High School
Por favor, seleccione la escuela donde deseas inscribír su hijo/a
Select the school year you are applying for:
*
Please select an option
Select a School Year
SY 2021/22
SY 2022/23
Seleccione el año escolar para el que está solicitando
Grade Applying For
*
Please select an option
Select a Grade
6
7
8
9
10
11
12
Grado de Aplicación
Student Information / Información del Estudiante
Student First Name:
*
Nombre del estudiante
Middle Name:
Segundo Nombre
Last Name
Apellido
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
*
Student's Date of Birth:
Fecha de nacimiento del estudiante
Home Phone:
Número de Teléfono de Casa
Cellular Phone Number:
*
Cellular Phone Number
Email Address:
*
Correo Electrónico
Current School:
*
Escuela corriente
Does a sibling of the applicant attend and ASPIRA school?
*
Yes
No
Tiene el estudiante algún hermano/a que va a una escuela de las escuelas de ASPIRA?
If yes, indicate student name/s:
Si la respuesta es sí, indique nombre/s del alumno/s
If yes, indicate student name/s:
Si la respuesta es sí, indique nombre/s del alumno/s
Parent/Guardian Information / Información del Padre
With whom does the applicant currently live?:
*
Mother/Madre
Father/Padre
Both Parents/Los Dos Padres
Guardian/Guarda
¿Con quien vive el solicitante?
Parent/Guardian Name 1:
*
Nombre del Padre/Madre/Guarda 1
Parent/Guardian Name 2:
*
Nombre del Padre/Madre/Guarda 2
How did you hear about us?
*
Friend/Family Member - Amigo/familiar
Social Media/Redes Sociales
Website/El Sitio Web
Email/Correo Electronico
Mailer/Correspondencia
Community event/Evento communitario
Billboard/ Cartelera
¿Cómo se enteró de nosotros?
If you were referred by someone, please write their name here:
Si alguien lo refirió, escriba su nombre aquí
Phone number/email of the person who referred you:
úmero de teléfono / correo electrónico de la persona que lo refirió
Date
*
Parent Initials:
*
Iniciales paternales
Submit Application
