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Apply
Hope Scholarship
Student Culture Guide
Virtual Tour
Athletics
Huntington Expression Prep
Contact
Payments
Download PDF Form
Fill out the Application Form Online
Fathers Name
First
Last
Fathers SSN
(Required)
Mothers Name
First
Last
Mothers SSN
(Required)
Guardians Name
First
Last
Fathers Occupation
Fathers Employer
Employers Phone
Fathers Email
Mothers Occupation
Mothers Employer
Employers Phone
Mothers Email
Guardians Occupation
Guardians Employer
Employers Phone
Guardians Email
Child's Residential Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Child(ren) reside(s) with
County
Father Marital Status
Single
Married
Widowed
Divorced*
Mother Marital Status
Single
Married
Widowed
Divorced*
Guardian Marital Status
Single
Married
Widowed
Divorced*
*To understand custody arrangements of child, potential out-of-town trips, who will drop or pick child up from school, etc., please have any applicable supporting documents on file.
Household Income: Optional (For the purposes of demographic data only)
< $50,000
$50,000 - $100,000
$100,000 - $150,000
Over $200,000
We would like to enroll the following children
First Child
First
Last
Name Child Goes By
SSN
Gender
Grade to Enter (ex. 1st Gr.)
Year to Enter (ex. 2019)
Age
Birth Date
MM slash DD slash YYYY
Second Child
First
Last
Name Child Goes By
SSN
Gender
Grade to Enter (ex. 1st Gr.)
Year to Enter (ex. 2019)
Age
Birth Date
MM slash DD slash YYYY
Third Child
First
Last
Name Child Goes By
SSN
Gender
Grade to Enter (ex. 1st Gr.)
Year to Enter (ex. 2019)
Age
Birth Date
MM slash DD slash YYYY
In case of emergency, contact:
Name
Address
Telephone
Relationship
Add
Remove
Family Physician
Phone
Have any of the applicants ever repeated a grade?
Yes
No
If yes, applicant’s name
Grade repeated
Have any of the applicants ever been tested for special needs?
Yes
No
Please explain
Are any of the applicants currently homebound?
Yes
No
Please explain
Please check all mental, emotional or physical impairments for children (Responses will be held confidential).
Child's Name
First
Last
ADHD/ADD
BD(Behavior Disorder)
Autism/Asperger’s Syndrome
Seizures
Diabetes
Hearing Impaired/Eye Correction
Allergies
Other Medical Issues/Learning Disabilities
Child's Name
First
Last
ADHD/ADD
BD(Behavior Disorder)
Autism/Asperger’s Syndrome
Seizures
Diabetes
Hearing Impaired/Eye Correction
Allergies
Other Medical Issues/Learning Disabilities
Child's Name
First
Last
ADHD/ADD
BD(Behavior Disorder)
Autism/Asperger’s Syndrome
Seizures
Diabetes
Hearing Impaired/Eye Correction
Allergies
Other Medical Issues/Learning Disabilities
Have any of the applicants experienced such disciplinary actions as detentions, suspension, expulsion, probation, or police records?
Yes
No
Name
First
Last
Please explain
Previous School Information
Name
Mailing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Fax
Church or denominational affiliation
Father: Church Now Attending (Put none for no denomination)
Mother: Church Now Attending (Put none for no denomination)
Guardian: Church Now Attending (Put none for no denomination)
Grandparent Information (optional)
Name
First
Last
Address
Name
First
Last
Address
References
Name
Address
Phone
Relationship to Student
Add
Remove
How did you hear of Expression Prep?
Please explain in your own words why you want your child to attend Expression Prep:
Expression School mission statement: Expression school supports parents in the education of their child. We wish to work together to cultivate wisdom, training the mind to think, and not just the gathering of facts. We will strive to identify individual talents, encourage their development, and prepare the student in the cultivation of said talents. We aspire to facilitate the students' move into becoming a productive member of society.
I/We have read and support the Mission Statement of Expression Prep.
(Required)
Yes
No
Father/Guardian Signature
Date
MM slash DD slash YYYY
Mother/Guardian Signature
Date
MM slash DD slash YYYY
Your Contact Number
(Required)
Your Email
(Required)
Your Billing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Aftercare
I would like to signup for aftercare.
A complete transcript, birth certificate, and a $25 application fee must be included with a completed application. Note: Submission of this application does not guarantee admission to Expression Prep.
Please upload your Transcript and Birth Certificate
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 256 MB, Max. files: 2.
Application Fee
(Required)
Price:
Payment Method
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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