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RETURNING STUDENT APPLICATION

1. Personal Information

Name: _______________________________________

Parent's Name(s):__________________________
 

__________________________

Address: _____________________________________
Street

Parent Email Address: _____________________

___________________________________
City, State Zip Code

Student Email Address: ____________________

Phone #: _____________________

Date of Birth:__________

Grade in Fall: ______

High School Attending in the Fall

____________________________________________

Math Course(s) you are taking in the Fall

____________________________________________

Science Course(s) you are taking in the Fall

____________________________________________

List all activities that you will be involved in during the upcoming school year that may require you to meet on Saturdays (e.g. work, sports, clubs, SAT testing, etc.)

______________________________________________________________________________________
______________________________________________________________________________________

2. Report Card

Include a copy of your latest school report card.

3. Send all items to:

PACE-Monmouth
P.O. Box 493
Lincroft, NJ 07738

Your Application must be received no later than July 13th

Do not write below For Official PACE Use Only
Date Received: ____________________________ Application Acknowledgment:____________________________
Essay Included: Y___________ N____________ Final Notification: ______________________________________
Transcript Included: Y_______ N____________ Registration Fee Included: Y ____________ N __________
Recommendation Included: Y_______ N____________
Disposition: I______ A______ R _____ W____ Registration Fee Acknowledgment: Y ___________ N________
Interview Date/Time:__________________________