Student Placement Test

Student Information

First Name:

Last Name:

Age:

Grade Applying For:

Date of Birth:

Previous School (if applicable):

City/State:

Parent / Guardian Information

First Name:

Last Name:

Phone Number:

Email Address:

Home Address:

City/State:

ZIP:

Declaration

• I confirm that all the details shared in this form are accurate.
• I understand that the placement test helps the school identify the best learning level for my child, and I agree to follow the school’s admission procedures.

Date:

Parent/Guardian Signature:

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