The Atheneum SchoolAnchorage, AK
Application for Admission
Student Name________________________ Age___________ Birth Date______________ Sex____ Current School____________________________________________ Grade 2006-2007__________ Father's Name_____________________________________ Home Phone______________________ E-Mail address______________________________________ Work Phone______________________ Address___________________________________________ Cell Phone________________________ City/State/Zip______________________________________________________________________ Mother's Name_____________________________________ Home Phone______________________ E-Mail address______________________________________ Work Phone_______________________ Address___________________________________________ Cell Phone________________________ City/State/Zip_______________________________________________________________________ Student Lives with: Name _________________________________ Address_________________________________________ City/State/zip___________________________________ Phone__________________________________________ Are you currently in school?_____If no,why?_______________________________________________ Current/Former School: Name________________________________ Address________________________________________ City/State/Zip__________________________________ Phone/Fax Number______________________________ Date Withdrawn_____________________________
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Student Essays
Why do you want to attend Atheneum? Please give 2-3 reasons.Do you consider yourself to be an independent worker? Please give examples, such as projects, reports,community service, etc.
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