Archer Anywhere Application
Student Information
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Citizenship(s)
*
Language(s) Spoken and Proficiency Level(s)
*
Student Contact Information
Student Email
*
example@example.com
Permanent Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Phone Number
Please enter a valid phone number.
Student School Information
Current Grade
*
6th
7th
8th
9th
10th
List Current and Previous School Information (School Name, City, Years Attended)
*
Parent/Guardian 1 Information
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Student
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Address (if different than student address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation(s)
*
Highest Level of Education Completed
*
Parent/Guardian 2 Information
Parent/Guardian Full Name
First Name
Last Name
Relationship to Student
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Address (if different than student address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation(s)
Highest Level of Education Completed
Student Educational Information
Academic Interests
*
Extracurricular Activities of Interest
*
Educational Achievements and Awards
Educational Needs or Accommodations (if any)
Transcripts/Report Cards
Upload Transcripts/Report Cards
*
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Student Personal Statement
Upload a personal statement (500 word max) written by the student that addresses the following: Why do you want to enroll in an online school? Why Archer Anywhere? Describe some of your interests and goals.
Upload Student Personal Statement (pdf format)
*
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Letters of Recommendation
Please list the names and contact Information (email or phone) of individuals providing recommendations.
Name of Current English Teacher
*
Phone or Email of Current English Teacher
*
Name of Current Math Teacher
*
Phone or Email of Current Math Teacher
*
Technology Requirements Acknowledgment
Please check each box to verify that the following statements are accurate.
*
The student has the necessary equipment (laptop and printer) and technical skills for online learning.
The student has regular access to a stable internet connection for online learning.
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