Applicant's parents(s) are currently married*
Select...YesNo

Applicant’s parent(s) are
Select...SeparatedDivorcedMother DeceasedFather Deceased

If parent(s) are divorced or deceased
Select...Father remarried Mother remarried

Name of step‐parent

Name to which school information (e.g. flyers, report cards) should be sent

Address

City

State

ZIP

Phone

Email