Student Information

First Name*	Required
Middle Name	Required
Last Name*	Required
Suffix	Required
Gender	select Female Male Unknown Required
Birthdate*	RadDatePicker RadDatePicker Open the calendar popup. Calendar Title and navigation Title and navigation << < December 2024 > << December 2024   S M T W T F S 48 24 25 26 27 28 29 30 49 1 2 3 4 5 6 7 50 8 9 10 11 12 13 14 51 15 16 17 18 19 20 21 52 22 23 24 25 26 27 28 53 29 30 31 1 2 3 4 Required

Current Grade

select Other

Required

Current School

select Other ABC Abundant Life Schools Achieve Support Arkansas Baptist Arkansas Pediatric Day Center Jonesboro Asbury United Methodist At Home Atkins Elementary School Autism in Motion Avialla Christian Academy Avilla Christian Academy Baptist Health Daycare LR Baseline Bilingual Bauxite Elementary Boone Park Elementary Bryant Co-op Bryant Jr. High Building Bridges in Lonoke Cabot High School Caldwell Elementary Camden middle school Central High School Child Development Center(LRAF) Christ the King College Station Elementary CommCentral Conway High School Currently not in school Davis Elementary DETA Freshstart Academy deTaso Test School Dunbar Magnet Eagle Mountain Elementary East End Downtown Eastside Elementary El Dorado High School El Dorado School ElDorado High School ElDorado school Emmaculate Conception Emmerson Elementary eStem Public Charter School Exalt Academy Fairpark Early Childhood Center Fairview Elementary -Camden First Southern Fordyce Elementary Fountain Lake Elementary Fullbright Elementary Goddard School Gospel Light Goza Middle School Hall High School Harding Elementary Harmony Grove Heber Springs Middle School Hill Farm Elementary Hope Academy Horizon Day Treatment Hurricane Creek Elementary Inner Circle Autism Inner Circle Autism Network JA Fair Prep Academy Jacksonville Christian Academy Jacksonville Elementary Junction City Junction City Elementary Kid Zone Learning Center KIDS 1st Academy KIDS 1st Academy - Jacksonville Kids Place Kids R Kids Lake Hamilton High school Lake Hamilton Middle School Lake Nixon Outdoor Preschool Lakewood Elementary Lakewood Middle Little Church at UM Little Life Academy Little Rock Southwest Little Rock West Malvern High School Malvern Middle School Maugerite Vann McGehee McGehee Elem Mcrae Elementary Mimi's Playhouse Moody Elementary Morris Elementary Murrell Taylor North Hill Services North Little Rock Catholic Academy NorthSide Elementary Oak Brook Elementary Otter Creek Elementary Our Lady of Fatima Catholic School, Benton Paris Parkview High School Patillo School Daycare Pike View Elementary Pine Forest Elementary Pinnacle Classical Academy Primrose of West Little Rock Riverdale Academy Rose Bud Elementary Ruth Doyle Sacred Heart of Morrilton Savvy Kids Learning Center Smackover Elementary Small Blessings Nurturing Childcare South Montesorri Southwest High St, Joe St. John Catholic School St. John Lutheran Schools St. John Luthern St. Mark Episcipol Day school St. Mark Episcopal Day school Stuttgart Taylor Elementary Test Current School Name Texarkana The Anthony School The Child Development The Child Development Center Trinty UALR University of AR Fayetteville University of AR Fayettville University of Arkansas at Fayetteville Waggoner Creek Elementary School Wakefield Elementary Ward Central Westside Elementary Westwind Schoo of Performing Arts Westwind School of Performing Arts White Hall High School Wonderview Elementary School

Required

School Year Applying

select 2024-2025 2025-2026 2026-2027 2027-2028 2028-2029 2029-2030 2030-2031 2031-2032 2032-2033 Required

Household Information
Parent/Guardian 1       Relationship select Father Mother Stepfather Stepmother Grandparent Guardian Foster Parent Brother Sister Self DPOA POA Required     Salutation select Admiral Ambassador Captian Cmdr. Col. Dr. Drs. Father First Lady General Govenor Honorable Lt. Lt. Col. Madaam Major Master Miss Mmes. Mr. Mrs. Ms. Mssrs. Professor Rabbi Reverend Senator Sir Sister Required     First Name* Required     Middle Name Required     Last Name* Required     Nick Name Required     Suffix Required     Gender select Female Male Unknown Required     E-Mail Address* Required     Cell Phone* Required     Home Phone Required	Parent/Guardian 2       Relationship select Father Mother Stepfather Stepmother Grandparent Guardian Foster Parent Brother Sister Self DPOA POA     Salutation select Admiral Ambassador Captian Cmdr. Col. Dr. Drs. Father First Lady General Govenor Honorable Lt. Lt. Col. Madaam Major Master Miss Mmes. Mr. Mrs. Ms. Mssrs. Professor Rabbi Reverend Senator Sir Sister     First Name     Middle Name     Last Name     Nick Name     Suffix     Gender select Female Male Unknown     E-Mail Address     Cell Phone

Address
Street Address*	Required
Street2	Required
City*	Required
State*	select AB Alberta AK Alaska AL Alabama AR Arkansas AZ Arizona BC British Columbia CA California CO Colorado CT Connecticut DC District of Columbia DE Delaware FL Florida FM Federated States of Micronesia GA Georgia GU Guam HI Hawaii IA Iowa ID Idaho IL Illinois IN Indiana KS Kansas KY Kentucky LA Louisiana MA Massachusetts MB Manitoba MD Maryland ME Maine MH Marshall Islands MI Michigan MN Minnesota MO Missouri MP Northern Mariana Islands MS Mississippi MT Montana NB New Brunswick NC North Carolina ND North Dakota NE Nebraska NF Newfoundland NH New Hampshire NJ New Jersey NM New Mexico NT Northwest Territories NU Nunavut NV Nevada NY New York OH Ohio OK Oklahoma ON Ontario OR Oregon PA Pennsylvania PE Prince Edward Island PW Puerto Rico QC Quebec RI Rhode Island SC South Carolina SD South Dakota SK Saskatchewan TN Tennessee TX Texas UT Utah VA Virginia VI Virgin Islands VT Vermont WA Washington WI Wisconsin WS American Samoa WV West Virginia WY Wyoming YT Yukon Territory Required
Zip*	Required