School Profile

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Entry Grade: *

Student Name: *

Age: *

Birthdate: *

Requested Start Date: *

Gender: *

How do you identify yourself? *

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Primary Household Language: *

Name of Parent/Guardian: *

Primary Household Religion: *

Mailing Address: *

Permanent Address: *

Address Line 1

City

State / Province / Region

Postal Code

Country

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Student Phone Number: *

Student Email: *

Parent Phone Number: *

Parent Email: *

Special Interests: *

Hobbies: *

Career Goals: *

What do you hope to accomplish & experience at OLFEA? *

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Student Signature: *

Date: *