Student's Information
*First Name:		*Last Name:
*Date of Birth:	010203040506070809101112 / 01020304050607080910111213141516171819202122232425262728293031 / 19781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009	*Current Grade Level:     010203040506070809101112
*School Name:
Contact Information
*Person Inquiring:		*Student Relationship:
*Home Phone:		*Work Phone:
*Email Address:
Address Information
*Address:
*City:	*State:  AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowa IdahoIllinoisIndianaKansas KentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming       *Zip:
Additional Information
Does student have any family ties to Magnificat?		Yes  No
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Student Co-curricular Activities:
How did you hear about Magnificat High School:
If an 8th grade student is interested in signing up for one of our Scholarship/Placement exams for the Class of 2014, please choose below:                                        Saturday, October 30, 2010 - 8:30am                                        Saturday, November 13, 2010 - 8:30am (The $20 test fee and two #2 pencils will be needed on test date. A confirmation postcard will be sent in weeks before testing)
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