., ':, '.. '. _,, ' ASP..RA NC. OF ll.ln~s ' Applcaton for Admsson School Year: o 2014-2015 o 2015-2016 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. 3986 W. Barry Ave. 3121 N. Pulask Ave. Chcago, llnos 60625 Chcago, llnos 60647 Chcago, L 60641 (773} 252-0970 Ext. 555 (773} 252-0970 Ext. 639 (773) 252-0970 Ext. 6230 D ASP RA BUSNESS and FNANCE HGH SCHOOL 2989 N. Mlwaukee Ave. Chcago, L 60618 (773} 252-0970 Ext. 3559 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)252-0970 2415 N. Mlwaukee Avenue, Chcago L 60647 www.aspral.org
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!-------------------- --- ---------1 L -------------------------~ Cty* https://docs.google.com/forms/d/1drw586kawub8cxhdcwmst7fbkfglpyjj-pcqbhfqbo/vewform?c=o&w=1 1/3
_ -----------------------------J 7/23/2015 Cudad 1--------------- ------------------------------, 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) ------------------------ ---- --------------- ------1, ),, ; Grade Applyng For * Grado de Aplcac6n 06 07 08 09 0 10 0 11 0 12 O Other: Current School * Escuela corrente 1------------------------- 1 - Does a sblng of the applcant attend and ASPRA school? * https://docs.google.com/forms/d/1drw586kawub8cxhdcwmst7fbkfglpyjj-pcqbhfqbo/vewform?c=o&w=1 2/3
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: :-------------- - ---- - ----1!. --------- - --------- ---- -- - ----- 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 https://docs.google.com/forms/d/1drw586kawub8cxhdcwmst7fbkfglpyjj-pcqbhfqb0/vewform?c=o&w=1 313
7/2312015 asprallnos.schoolwres.neuste/defaullaspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be3-6db7-4130-8424-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 2015-16 School Year! ASP1RA Communty Cnaner Scnools Homepage There s stll tme to enroll at any of our schools for the 2015-16 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, 20151 Todavfa hay tempo para nscrbrse en cualquera de nuestras escuelas para el ao escolar 2015-16. 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 20151 Get n Touch 2415 N. Mlwaukee Ave. Phone: 773-252-0970 Questons or Feedback? Schoolwres Pnvacy Polcy (Updated) Tenns of Use http://asprallnos.schoolwres.neuste/defaultaspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be3-6db7-4130-b424-dbe4e9ed6c2a&renderloc=o&flexdatald=40&pagetd=9 112
7/2312015 asprallnos.schoolwres.neuste/default.aspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be~6db7-4130-b424-dbe4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 Chcago, L 60647 Ste Map Copyrght 2002-2015 Schoolwres, nc. All rghts reserved. http://asprallnos.schoolwres.neusteldefault.aspx?pagetype=3&domanld=b&modulelnstanceld=177&vewld=047e6be~6db7-4130-8424-dbe4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 212