A college preparatory high school
Opened September 2014

609-619-2000 |
info@stemcivics.org

Admissions Form


* Notes Required Field.
 
You must complete each required field for the form to be successfully submitted. E-mail is the primary means of communication. Please ensure that we always have your current e-mail address to guarantee that you receive all information relevant to this application. 
 
Submitting an application means you accept STEMCivics's policies and procedures.

If your child is admitted, you must maintain a copy of the Transfer Card and our form indicating that is signed by a STEMCivics official as proof of submitting all relevant documents.
 
Please print a copy for your records before submitting this form.
 
We realize you have a choice in schools. Thank you for your interest in STEMCivics.
Admissions Form
*Student First Name
*Student Last Name
*Current School Name
*Current Grade
*Grade Applying For
*Date of Birth (MM/DD/YYYY)
*Parent - Guardian Name:
*Relationship to Student
*Email
*Address
*City
*State
*Zip
*Day Phone
*Evening Phone
Cell Phone
(When applying for multiple children in your household for the lottery please submit a separate application for each child. Not all siblings are guaranteed acceptance if one or more is chosen through the random selection process. If a space is not available in the selected grade for a sibling of the selected student, the sibling will be placed on the sibling wait list.)
How did you hear about STEMCivics?
Referral
Flyer
Friend or Family
Advertisement
Website
Other
Please provide a little more detail about how you hear about STEMCivics, e.g., newspaper name, friends name, website name, current school, etc.

ADDITIONAL


STEMCivics is a free public school that is open to all residents of New Jersey, regardless of race, religion, gender, national origin or disability of the students or the parents/guardians.

PARENT / GUARDIAN SIGNATURE

Parents/Guardians Signature
*Date (MM/DD/YYYY)



As an added security measure, please enter the following text in the box below.
 


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