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Columbus High School Liberal Arts Magnet1700 Cherokee Avenue ● Columbus, GA 31906Application for EnrollmentName:____________________________________________________________ Birthdate:____________________ LastFirstMiddleEmail Address:_________________________________________________________________________________ Address:___________________________________________ City________________ State:_______ Zip:______Father/Guardian’s Name:________________________________________ __ Home Phone:__________________Name of Employer:_______________________________________________ Work Phone:___________________Mother/Guardian’s Name:__________________________________________ Home Phone:__________________Name of Employer:_______________________________________________ Work Phone:___________________ School you currently attend:____________________________________________ Current Grade Level:_________ Current Math Class:______________________________________School Address if not in Muscogee County:__________________________________________________________Do you live in Muscogee County? ??Yes??NoDo you currently have an IEP or 504 Plan? ??Yes??NoIf yes, explain testing accommodations: _____________________________________________________________Current English Teacher Name: ________________________________ Email: _____________________________Current Math Teacher Name: __________________________________ Email: _____________________________Current Guidance Counselor Name: _____________________________ Email: _____________________________Optional Information (While not required, the following information will help us meet your needs.)Ethnicity: ??African American ??American Indian ??Asian or Pacific Islander ??Hispanic ??????Middle Eastern ??Multiracial ??White ??Other (please specify)_________Gender: ??Male ??Female Siblings currently at CHS:___________________Place a “P” next to the activities in which you currently participate. Place an “I” next to the activities in which you have an interest, but in which you do not participate:___ Academic Bowl/Team ___ Drama ___Science Club/Team___ Band (Instrument ___________) ___ Football ___ Soccer___ Baseball ___ Gifted Program (currently enrolled) ___ Softball___ Basketball ___ Golf ___ Swimming___ Competition Cheerleading___ JROTC ___ Tennis___ Chorus (Part _______________) ___ Lacrosse (Girls)___ Track and Field___ Cross Country ___ Math Club/Team ___ Volleyball (Girls)___ Dance Team ___ National Honor Society ___ Wrestling ___ Orchestra (Instrument __________) ___ Flag Football (Girls) List your community activities: (piano lessons, Scouts, church, volunteer work, etc.): _______________________________________________________________________________________________________________________________List your previous awards (academic, music, sports, etc.):______________________________________________________________________________________________________________________________________________________A COPY OF YOUR ACADEMIC TRANSCRIPT (TO INCLUDE YOUR CURRENT SCHEDULED COURSES/CLASSES TAKEN) MUST BE ATTACHED TO THIS APPLICATION.(This application packet will only be available to the Admissions Committee.)Parent Approval of ApplicationMy child has my permission to apply to the Columbus High School Liberal Arts College Preparatory Magnet. I realize that after testing, I will be notified about acceptance into the magnet. At that time, if I choose for my child to attend CHS, a non-refundable social fee of $55 is due. Shortly after school starts, a field trip fee (about $75-95) will be due. Both the social fee and field trip fee are yearly expenses. In addition, I understand that my child will be required to take AP World History (10th grade) and at least one additional Advanced Placement class while a student at CHS.Parent Signature:__________________________________________________________ Date:_____________________ ................
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