Wilmington Prep
On-line Application for Enrollment
School year beginning July 2012
A separate form must be completed and submitted for each child.
Please review before clicking "SEND."  WPA reserves the right to reject applications that are incomplete or
not properly filled out.
For which grade are you applying? (2012-2013 school year)
6th
 7th
1st
 4th
 8th
2nd
 3rd
 5th
K
STUDENT INFORMATION
Child's last name                         Child's first name                                Middle name
Male        Female                        Date of Birth                                    Age            Soc. Security No.
                                    (Select using drop-down menu,)
Ethnic background:
Student's Home Address:

Street and no.                                City                                                    Zip
Student's current school       County                             State               What type of school is it?
Current grade:
Please give the names and grades of brothers & sisters also applying to Wilmington Prep:
Full name:                                      Grade applying for:
PARENT / GUARDIAN INFORMATION
Who does the student live with?  
(Hold down Ctrl key to choose more than 1.)
Full name of legal guardian of the child                         Relationship to the child
Who is completing this application?               
Your full name:                                            Your relationship to child:
Please make sure you can be reached at the phone numbers and address you give
below.   If we cannot reach you, you might miss being notified in time about your child's
enrollment. (Please include the area code in the phone numbers.)

Home phone                   Work phone                          Cell phone                      Pager no.
Which is the best number for us to call during the day?
YOUR  Mailing Address:

Street & number                        Apt. No.                   City/Town                 State                Zip code
Email address:
PLEASE READ BEFORE YOU CLICK "SUBMIT":

If your child is selected in Open Enrollment or the lottery, you will be notified by mail at
the address given.  After you are notified of enrollment, you must sign an acceptance letter
and submit all additional required paperwork by given deadlines.  Submitting this
application does not guarantee enrollment.   Please call 799-6776 during business hous to verify
the application transmitted.  

By submitting this application (pressing the send button), you state that the information you have
given in this on-line form is true and complete to the best of your knowledge.
SUBMIT APPLICATION: