Squire Academy Student Application

THIS FORM IS TO BE COMPLETED BY THE STUDENT

What reason(s) did you have for leaving school? If you are still in school, what is your main
reason(s) for wanting to drop out or attend Squire Academy? Please mark all that apply:

THE INFORMATION ON THIS FORM IS ACCURATE TO THE BEST OF MY ABILITY. IF THE INFORMATION IS FOUND TO BE PURPOSELY MADE INACCURATE, THEN I UNDERSTAND THAT THIS OFFENSE MAY BE CAUSE FOR NOT BEING ACCEPTED INTO THIS PROGRAM.