Inquiry Form
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Required
PROSPECTIVE STUDENT INFORMATION
Student Name
*
required
First Name
Last Name
Current Grade:
*
required
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Name of Current School
*
required
Grade Interested In:
*
required
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Special Interests
Arts
Athletics
PARENT/GUARDIAN INFORMATION
Name
*
required
First Name
Last Name
Email Address
*
required
Street Address
*
required
City
*
required
State
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
required
Relationship to Student
*
required
Mobile Phone
*
required
How did you hear about NSU University School?
*
required
Would you like to be contacted for a tour?
Yes
No
Date
Must contain a date in M/D/YYYY format
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