., ':, '.. '. _,, ' ASP.I.RA INC. OF ll.lin~is '

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1 ., ':, '.. '. _,, ' ASP..RA NC. OF ll.ln~s ' Applcaton for Admsson School Year: o o Please select the ASPRA School you are nterested n attendng: D ASPRA HAUGAN D ASPRA EARLY COLLEGE DASPRA ANTONA PANTOJA MDDLE SCHOOL HGH SCHOOL HGH SCHOOL 3729 W. Leland Ave W. Barry Ave N. Pulask Ave. Chcago, llnos Chcago, llnos Chcago, L (773} Ext. 555 (773} Ext. 639 (773) Ext D ASP RA BUSNESS and FNANCE HGH SCHOOL 2989 N. Mlwaukee Ave. Chcago, L (773} Ext Student nformaton Last Name Frst Name ntal Student D Street Address Cty State (_) (_) Zp Code Home Phone Number Cellular Phone Number E-mal address _/_/ Date of Brth Age Grade applyng for Current school Does a sblng of the applcant attend an ASPRA Charter School? D No DYes f Yes, ndcate Student's Name ASPRA School Parent/Guardan nformaton: Wth whom does the applcant currently lve? Mother Father Both Parents Guardan Parent/Guardan Name Same address, phone number and/or emal address? Yes No. f No, please complete: Address Cty State Zp Code Phone Number Emal Address _/ } Parent/ Guardan Sgnature Rev07/14 Date Phone(773) N. Mlwaukee Avenue, Chcago L

2 7/23/2015 ASPRA Communty Charter Schools ASPRA Communty Charter Schools School nterest Form/Forma de lnteres Escolar *Requred Please select the ASPRA School you are nterested n learnng more about: * Por favor, seleccone la escuela que deseas obtener mas nformac6n: 0 ASPRA Haugan Mddle School 0 ASPRA Early College Hgh School O ASPRA Antona Pantoja Hgh School 0 ASPRA Busness and Fnance Hgh School Student Frst Name * Nombre , Mddle Name ~U11QQJ'!9n!~~ [ ' J Last Name* r Apelldo ~ [ J Address* Drecc6n! L ~ Cty* 1/3

3 _ J 7/23/2015 Cudad , l ASPRA Communty Charter Schools State* Esta do L Zp Code* C6dgo Postal [ -_- -_- --_- -_ ! ~ ! Home Phone Numero de Telefono de Casa ~ } Cellular Phone Number Numero de Telefono Celular E-mal Address Correo Electr6nco L,, --~ Date of Brth (mm/dd/yyyy) * Fecha de Nacmento (mm/dd/aaaa) , ),, ; Grade Applyng For * Grado de Aplcac6n O Other: Current School * Escuela corrente Does a sblng of the applcant attend and ASPRA school? * 2/3

4 7/23/2015 ASPRA Communty Charter Schools ltene el estudante algun hermano/a que va a una escuela de las escuelas de ASPRA? 0 Yes/S 0 No f yes, ndcate student name/s: S la res:uesta es sf, ndque nombre/s del alumno/s: : ! Wth whom does the applcant currently lve? * lcon quen vve el solctante? 0 Mother/Madre O Father/Padre O Both Parents/Los Dos Padres 0 Guardan/Guarda O Other: Parent/Guardan Name 1 Nombre del Padre/Madre/Guarda 1 c:===~=---~~===~~=~=-=~1 Parent/Guardan Name 2 Nombre del Padre/Madre/Guarda 2 Parent ntals Today's Date {dd/mm/yy) [ech:~2~d:m_m/~a~ Submt Never submt passwords through Google Forms. Powered by Ths form was created nsde of Aspra nc of llnos. Report Abuse - Terms of Servce - Addtonal Terms 313

5 7/ asprallnos.schoolwres.neuste/defaullaspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be3-6db dbe4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 ~llrl.l,nc. 70FLLNOJS uadershp Through Educaton! Adl\ ssons >\SPRA H&1gan Mc1clle School ASPR.A Anton\ Pantoja Jon Our E Mal Lst t,spr/1 f\usncss and Fn2111ce m D Schools Lke Usl School nqury Form AS Pl RA Early Colk'ge Re:,ourccs Return to Headlnes Now Enrollng Students for the School Year! ASP1RA Communty Cnaner Scnools Homepage There s stll tme to enroll at any of our schools for the school year! f you are nterested n learnng more about our schools, please fll out our school nqury form, select the school you are nterested n learnng more about, and a member of our recrutment team wll reach out to you. Remember- Classes begn August 26, Todavfa hay tempo para nscrbrse en cualquera de nuestras escuelas para el ao escolar S deseas aprender mas acerca de nuestras escuelas, par favor lene nuestro formularo de consulta, seleccone la escuela, y un membro de nuestro equpo de reclutamento llegara a usted. Recuerde: Las clases comenzan el 26 de agosto de Get n Touch 2415 N. Mlwaukee Ave. Phone: Questons or Feedback? Schoolwres Pnvacy Polcy (Updated) Tenns of Use 112

6 7/ asprallnos.schoolwres.neuste/default.aspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be~6db b424-dbe4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 Chcago, L Ste Map Copyrght Schoolwres, nc. All rghts reserved