Online Application

CAUTION: You are on the Coral Academy of Science-RENO Website. Please click here to apply Coral Academy of Science-LAS VEGAS
Student Information
Is this an application for a sibling of a current CAS student? Yes No
Last Name: * Middle Name:
First Name: *
Date Of Birth: * Gender: *
Grade Applied For: * In Educational Year: *
Street Address: *
City* State: * Zip: *
Phone Number :*
Are you also enrolling a sibling with this application? Yes No
If so, Sibling Full Name:

Parent/Guardian /Custodial Parent Information
First Name:*
Last Name:*
Relationship:*
Street Address:*
City : * State: * Zip: * Phone Number : *
Employment Information
Job Position:
Employer Name:
Address :
Work Phone:
E-mail:

Please list all schools the applicant has attended during the past four years, starting with the most recent school.
School NameGradeYear

More Information About The Applicant
Has your child ever been expelled from any school? Yes No
If yes, please explain:
Is Applicant currently under expulsion from any school? Yes No
If yes, please explain:
Does your child qualify any of the following? ADHD: SpEd: 504: IEP:
Has applicant ever skipped a grade? Yes No
If yes, please explain:
Has applicant ever repeated a grade? Yes No
If yes, please explain:
Please indicate any special health or other needs of which we should be aware and which will help us to plan and provide for the applicant's educational experience:
Please list applicant's honors, awards, or special achievements (in or out of school):
Applicant lives with:
How did you learn about CAS?
Briefly state why you wish to have your child/children enrolled at Coral Academy of Science:
* Required



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