West Application1

AcadeMir Charter School West Application

Date

00/00/0000

Student's Last Name

Student's Middle Name

Student's First Name

Student's Date of Birth

00/00/0000

Gender

Female Male

2024-2025 Grade Level

Address 1

Address 2

City

State

Zip

Is student a sibling to a CURRENT AcadeMir Charter School student?

Yes No

Sibling Name

Sibling Grade

Has the student ever attended or registered at a Miami Dade County Public School?

Yes No

Type of school attending?

Private Traditional Public Charter None

Name of School currently attending?

N/A if None.

Mother's Name

Mother's Phone Number

305888888

Father's Name

Phone Number

3058888888

How did you hear about Academir Charters Schools?

Email

Confirm