THE WILEY-BECKETT PREPARATORY ACADEMY 9-12 - ENROLLMENT - Ft. Worth, TX
THE WILEY-BECKETT PREPARATORY ACADEMY 9-12 - PRIVATE & HOME-SCHOOL ACCREDITED
  THE WILEY-BECKETT PREPARATORY ACADEMY
214.734.5403
 
 
ENROLLMENT FORM
NEW STUDENT INFORMATION 9-12
 
 
 
Student’s Name ___________________________________ SSN ____________________ Enrollment Date­­­                         
                          First               Middle                Last        (Social Security Number)
  
Address _________________________________________City ______________________ State ________Zip__________
 
 
Student Home Phone __________________ Fax _________________Email Address _______________________________
 
 
Birth date______________ Sex:  MALE_____ FEMALE_____ Nationality ________________ Race_________
 
 
Student’s Immunization Status (please list exemptions) ________________________________________________________
 
 
Grade Level as of today  _____    Month/Year of estimated graduation from high school  ___________
 
 
Is student earning a diploma from THEWILEY-BECKETT PREPARATORY ACADEMY ? ______
 
 
Previous School Attended__________________________________________City______________________State_______
 
 
Is student attending another school (Dual schooling)? ______ Name____________________Location______________
 
 
Student’s Interests ____________________________________________________________________________________
 
 
____________________________________________________________________________________________________
 
 
List Student’s Learning Differences, if any ­­­­­­­­­­ __________________________________________________________________
 
 
____________________________________________________________________________________________________
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                                   PARENT/GUARDIAN INFORMATION
 
 
Parent/Guardian_______________________________________Occupation_____________________________________
 
 
Educational Background _______________________________________________________________________________
 
 
Parent/Guardian _____________________________________Occupation __________________________________
 
 
Educational Background ______________________________________________________________________________
 
TUITION INFORMATION & POLICY
 
The Wiley-Beckett Preparatory Academy 9-12  shall be responsible for the collection of tuition and other fees from each student, from which the applicable enrollment, monthly tuition, and graduation fees are included. All fees are payable either in advance of service,unless other arangements have been made, and/or prior to the release of diplomas and transcripts. NO REFUNDS FOR SERVICES RENDERED.
 
NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS:
 
The Wiley-Beckett Preparatory High School admit students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. We do not discriminate on the basis of race, color, national and ethnic origin in the administration of our educational policies, and other school-administered programs. We reserve the rights to refuse service to any individual.    
 
 
  Affiliate of: Alger Learning Center and Independence High School
121 Alder Drive, Sedro-Woolley WA 98284Phone: 360-595-2630
 
 
 
 
 
 
 
 
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