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Applicant Information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Social Security Number*
Date of Birth*
Date Format: MM slash DD slash YYYY
Age*
Sex*
- Male
- Female
Applicant Current Grade*
Applicant Current School*
Family Information
Parent/Guardian #1 Name
First Last
Relation to Applicant*
Notes:
Home Address (if different from applicant's)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone Number*
Employer*
Job Title*
Business Phone*
Email Address*
Parent/Guardian #2 Name
First Last
Relation to Applicant
Notes:
Home Address (if different from applicant's)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone Number
Employer
Job Title
Business Phone
Email Address
Check if appropriate:
- Father Deceased
- Mother Deceased
- Parents Divorced
- Parents Seperated
- Father Remarried
- Mother Remarried
If parents are divorced or separated, who has legal custody of applicant?

Applicant Education
Name of Current School*
Dates of Attendance*
Address of Current School*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Contact Person*
Phone*
Previous School(s) Name(s)
Previous School(s) Location(s)
Previous School(s) Dates of Attendance
Siblings
1. Name
First Last
Relationship
Age
Grade
Attend(ed) CAC
Applying to CAC
2. Name
First Last
Relationship
Age
Grade
Attend(ed) CAC
Applying to CAC
3. Name
First Last
Relationship
Age
Grade
Attend(ed) CAC
Applying to CAC
4. Name
First Last
Relationship
Age
Grade
Attend(ed) CAC
Attend(ed) CAC
Notes

Application for Admission