University Laboratory School Online Application
for Grades 1-5, 7-12
School Year 2016-2017

Please complete this form by March 31, 2016.
Contact school office at 956-7844 or E-mail admissions@universitylaboratoryschool.org if there are any questions.
Please send a signed application and the required supporting documents after the on-line application has been submitted.

 

Applicant Data

First Name:

Middle Name/Initial:

Last Name:

Ethnic Background:
Please List in Priority Order

1.
2.
3.
4.
5.

Gender:

Female
Male

Student Birth Date:

(mm/dd/yyyy)

Age:

U.S. Citizenship:

Yes
No

Present School:

Present Grade Level:

Last Hawai‘i DOE school attended:

Grade of last Hawai‘i school attended:

Year of last Hawai‘i school attended:

Who has legal custody of child?

With whom does the child reside?


Contact Information

Mailing Address:

City:

State:

Zip Code:

Home Phone:

Other Phone:

E-mail:

 

Parent/Guardian Data

First Name of Father/Guardian:

Last Name of Father/Guardian:

Ethnicity:

Occupation/Job Title:

Name of Employer:

Work Phone:

Cellular/Pager:

E-mail:

Educational Background:

High School Graduate
Some College
Bachelor's Degree
Master's Degree
Doctorate Degree

First Name of Mother/Guardian:

Last Name of Mother/Guardian:

Ethnicity:

Occupation/Job Title:

Name of Employer:

Work Phone:

Cellular/Pager:

E-mail:

Educational Background:

High School Graduate
Some College
Bachelor's Degree
Master's Degree
Doctorate Degree