gifted school application...all applications received in a pool application period are given equal...
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Stud
ent’s
Nam
e
D
ate
of B
irth
Sex
La
st
Firs
t
M
iddl
e
Addr
ess
St
reet
City
Stat
e
Zi
p
Curr
ent S
choo
l
Sc
hool
Dist
rict o
f Res
iden
ce
Hom
e Ph
one
Num
ber (
)
Em
erge
ncy
Phon
e N
umbe
r (
)
Emer
genc
y Co
ntac
t
Plea
se P
rint
Sibl
ings
are
defi
ned
as ch
ildre
n ha
ving
on
biol
ogica
l or a
dopti
ve p
aren
t in
com
mon
and
resid
e in
the
sam
e ho
useh
old.
To
rece
ive
siblin
g co
nsid
erati
on fo
r one
child
, the
oth
er ch
ild m
ust b
e en
rolle
d in
the
scho
ol o
f cho
ice a
nd b
e sc
hedu
led
to co
ntinu
e in
that
scho
ol fo
r the
com
ing
year
, and
that
scho
ol m
ust b
e lis
ted
as th
e fir
st ch
oice
on
this
appl
icatio
n fo
rm. S
iblin
g co
nsid
erati
on e
xten
ds to
one
scho
ol o
nly.
No
siblin
g ap
plica
nts w
ill b
e co
nsid
ered
for p
riorit
y pl
acem
ent a
fter t
he P
ool B
App
licati
on p
erio
d clo
ses.
to a
noth
er p
erso
n?Ye
sN
o
Yes
No
Yes
No
Futu
re g
rade
in
Sep
t. 20
20
YOU
DO
NO
T N
EED
TO L
IST
FOU
R CH
OIC
ES, O
NLY
SEL
ECT
CHO
ICES
YO
U W
ILL
ACCE
PT.
(P4-
5)
# K
enna
rd C
lass
ical
Juni
or A
cade
my
503
Mag
net E
lem
enta
ry S
choo
ls K=
Kind
erga
rten
| P
4=Pr
esch
ool A
ge 4
*M
agne
t Mid
dle
Scho
ols (
6-8)
Scho
ol D
esire
d
Fi
rst c
hoic
e
# M
cKin
ley
Clas
sica
l Jun
ior A
cade
my
31
3
Pare
nt 1
Nam
e
Wor
k/Ce
ll #
(
)
Pare
nt 1
Em
ail
Pa
rent
2 N
ame
W
ork/
Cell
# (
)Pa
rent
2 E
mai
l
Pare
nt S
igna
ture
Da
te
Plea
se In
dica
te A
pplic
ant’s
Rac
e:SE
LECT
ON
LY O
NE
CODE
B Bl
ack/
Afric
an A
mer
ican
W
Whi
te/C
auca
sian
Bi
raci
al -
Blac
k
Bira
cial
- N
on-B
lack
SPEC
IAL
EDU
CATI
ON
: Is y
our c
hild
in th
e Fi
rst S
teps
Pro
gram
? (p
resc
hool
onl
y)Ye
sN
o
Yes
No
ESO
L: D
oes s
tude
nt u
se a
lang
uage
oth
er th
an E
nglis
h?
Plea
se sp
ecify
:Ye
sN
o
Whi
ch la
ngua
ge(s
) doe
s the
stud
ent u
se (s
peak
) at h
ome
and
with
oth
ers?
W
hich
lang
uage
(s) d
oes t
he st
uden
t hea
r at h
ome
and
unde
rsta
nd?
Requ
irem
ents
mus
t be
met
to b
e el
igib
le fo
r
READ
BEF
ORE
CO
MPL
ETIN
G P
APER
APP
LICA
TIO
N:
Seco
nd c
hoic
eTh
ird c
hoic
eFo
urth
cho
ice
2020
-202
1GI
FTED
SCH
OOL
APPL
ICAT
ION
4
GIF
TED
OU
TREA
CH :
May
we
shar
e yo
ur (n
ot st
uden
t) c
onta
ct in
form
ation
with
a c
urre
nt S
LPS
Gifte
d Ed
ucati
on P
rogr
am p
aren
t so
they
may
reac
h ou
t to
answ
er q
uesti
on a
bout
th
e pr
oces
s and
pro
gram
? Ye
sN
o
Plea
se R
ead:
Visi
t ww
w.s
lps.
org/
mag
net f
or a
n ex
plan
ation
of t
he tw
o-po
ol a
pplic
ation
tim
elin
e. A
ll ap
plic
ation
s rec
eive
d in
a P
ool A
pplic
ation
Pe
riod
are
give
n eq
ual c
onsid
erati
on w
ithin
pla
cem
ent p
rioriti
es. A
ll cu
rren
t Poo
l app
lican
ts w
ill b
e co
nsid
ered
for p
lace
men
t prio
r to
revi
ewin
g an
d pl
acin
g ap
plic
ants
in th
e ne
xt P
ool.
Subm
issio
n of
this
appl
icati
on w
ill o
verr
ide
any
prev
ious
app
licati
on su
bmitt
ed fo
r the
202
0-20
21 sc
hool
yea
r. IN
COM
PLET
E AP
PLIC
ATIO
NS
WIL
L N
OT
BE P
ROCE
SSED
.
* Ag
e el
igib
ility
bef
ore
Augu
st 1
for p
resc
hool
and
kin
derg
arte
n en
try
mus
t be
met
. See
elig
ibili
ty
requ
irem
ents
at w
ww
.slp
s.or
g/m
agne
t. #
Requ
irem
ents
mus
t be
met
to b
e el
igib
le fo
r adm
issio
n.
Not
e: P
resc
hool
pro
gram
s are
ava
ilabl
e to
St.
Loui
s City
stud
ents
. St.
Loui
s Cou
nty
resid
ents
with
a
siblin
g in
an
SLPS
Mag
net S
choo
l, ar
e el
igib
le to
att
end
Kind
erga
rten
thro
ugh
Grad
e 12
.(K
-2)
#
Stix E
arly
Chi
ldho
od G
ifted
Cla
ssro
om
5
93
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