Questions or Feedbacl<? i Schoolwires Privacy Policy (Updated)! Tenns of Use

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1 7f23/2015 aspiraillinois.schoolwires.net/siteldefaullaspx?pagetype=3&domainld=8&modulelnstanceld=177&viewld=047e6be3-6d d8e4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 ~?RA... c. 7~1LLNOS L<adcrshfp Through Eduoation! Join Our E Mail List 1'+ 11 D Schools Like Us! School nquiry Form Adm isswns ASPRA Hauga11 Middle School ASP RA Antonia Pantoja ASPRh Busi1 1ess and Finance /\SPRA Early College Resources Return to Headlines Now Enrolling Students for the School Year! ASPiRA Commurnry Cnarter Scnoois i-mmepage There is still time to enroll at any of our schools for the school year! f you are interested in learning more about our schools, please fill out our school inquiry form, select the school you are interested in learning more about, and a member of our recruitment team will reach out to you. Remember - Classes begin August 26, Todavia hay tiempo para inscribirse en cualquiera de nuestras escuelas para el aiio escolar Si deseas aprender mas acerca de nuestras escuelas, por favor lene nuestro formulario de consulta, seleccione la escuela, y un miembro de nuestro equipo de reclutamiento llegara a usted. Recuerde: Las clases comienzan el 26 de agosto de Get n Touch 2415 N. Milwaukee Ave. Phone: Questions or Feedbacl<? i Schoolwires Privacy Policy (Updated)! Tenns of Use 112

2 7/23/2015 aspiraillinois.sch:>olwires.net/site/defa.jlt.aspx?pagetype=3&domainld=6&mocl.jlelnstanc:eld=177&viewld=047e6be3-6d d8e4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 Chicago, L Site Map Copyright Schoolwires, nc. All rights reserved. \ ~KGC:o'f'wtre5; 2f2

3 7/23/2015 ASPRA Community Charter Schools ASPRA Community Charter Schools School nterest Form/Forma de lnteres Escolar *Required Please select the ASPRA School you are interested in learning more about: * Por favor, seleccione la escuela que deseas obtener mas informaci6n: 0 ASPRA Haugan Middle School 0 ASPRA Early College High School O ASPRA Antonia Pantoja High School O ASPRA Business and Finance High School Student First Name * Nombre [--==~~-=~===] Middle Name Segundo Nombre, ] Last Name* Apellido r ~ _J Address* Direcci6n [ -~-----\ ~ City* l 1/3

4 7/23/2015,- Ciudad i ASPRA Community Charter Schools State* Esta do i L, ~~---~J Zip Code* C6digo 'ostal i!.! Home Phone Numero de Telefono de Casa [ L Cellular Phone Number Numero de Telefono Celular. l,.. J Address Correo Electr6nico, L J' Date of Birth (mm/dd/yyyy) * Fecha de Nacimiento (mm/dd/aaaa) [~:=~=~-~~-=-==--~~~_-_] Grade Applying For * Grado de Aplicaci6n O Other: Current School * Escuela corriente !---- J! Does a sibling of the applicant attend and ASPRA school?* 2/3

5 7/ ASPRA Community Charter Schools (,Tiene el estudiante algun hermano/a que va a una escuela de las escuelas de ASPRA? O Yes/Si 0 No f yes, indicate student name/s: Si la respuesta es sf, indique nombre/s del alumno/s: 1 L j With whom does the applicant currently live? * {,Con quien vive el solicitante? O Mother/Madre O Father/Padre O Both Parents/Los Dos Padres O Guardian/Guarda O Other: Parent/Guardian Name 1 Nombre del Padre/Madre/Guarda 1, : l J Parent/Guardian Name 2 Nombre del Padre/Madre/Guarda 2 c:_-~~~~~~=~ ~-~~-~~--~~~~=~~--~ J Parent nitials l~~cia_!_es -~1~nale~-- 1 l ~ ---~--- ~--- -~--~! Today's Date (dd/mm/yy) Fecha de Hoy ~d/mm/aaaa),---- i '---- J Submit Never submit passwords through Google Forms. Powered by This form was created inside of Aspira nc of llinois. Report Abuse - Terms of Service -Additional Terms Di Rw586kawub8CXHdcWM st7fbkfglpyjj-pcqbh F QbO/viewform?c=o&w= 1 313

6 Application for Admission School Year: o o Please select the ASPRA School you are interested in attending: D ASPRA HAUGAN D ASPRA EARLY COLLEGE DASPRA ANTONA PANTOJA MDDLE SCHOOL HGH SCHOOL HGH SCHOOL 3729 W. Leland Ave W. Barry Ave N. Pulaski Ave. Chicago, llinois Chicago, llinois Chicago, L (773) Ext. SSS (773) 2S Ext. 639 (773) 2S Ext o ASP RA BUSNESS and FNANCE HGH SCHOOL 2989 N. Milwaukee Ave. Chicago, L (773) 2S Ext. 3SS9 Student nformation Last Name First Name nitial Student D Street Address City State (_) ( ) Home Phone Number Cellular Phone Number address _/ J Date of Birth Age Grade applying for Current school Zip Code Does a sibling of the applicant attend an ASP RA Charter School? D No DYes f Yes, indicate Student's Name ASPRA School Parent/Guardian nformation: With whom does the applicant currently live? Mother Father Both Parents Guardian Parent/Guardian Name Same address, phone number and/or address? Yes No. f No, please complete: Address City State Zip Code Phone Number Address Parent/ Guardian Signature Rev07/14. J ~ ----" ;.. Date Phone(773) N. Milwaukee Avenue, Chicago L