EmailMeForm
Online Registration - AEP
For schools -- MS4, Academy 1
Only for Out of District students who received AEP acceptance letter
Select Grade Level
*
Please select
6
7
Accepted Student Name
*
Please select
Aastha Tiwari
Adam Elidrissi
Ameya Modi
Anshika Kumar
Anton Nesmith
Arnav Patel
Ashirya Varma
Audrey Xi
Ayra Shekhar
Bhavishya Mutyala
Brianca Aminga
Gabriel Esguerra
Gabriela Morocho
Iven Makhaly
Jacob Roque
Jacqueline Vito
Jaeden Lumang
Jananisri Shanmugam
Janesh Batra
Jayden Sheen
Jayna Sehpur
Kala Kavyanja
Katherine Dempsey
Kunga Thakuri
Lauren Nguyen
Maximilian Hu
Natalie Gibbs
Noah Kwimi
Olivia Rudolph
Paris Patino
Radhika Singhal
Rana Pathak
Reena Nyla
Richie Nguyen
Rudra Prajapati
Sahith Patcha
Saniyah Rivers
Sara Abrahem
Sethi Ritvik
Shiloh Guanlao
Shreyashi Kumar
Shveni Sunilkumar
Simran Marwaha
Sophia Villatoro
Subramanian Sathvik
Surabi Sharma
Thomas Khalil
Tia McCarthy
Vanshika Sivakumar
Yani Patel
Yurizaa Salifu
Select name of student from this list
Incoming School
*
Please select
Beloved
Empowerment Academy Charter
Golden Door
JCCCS
Jersey City Global Charter School
LCCS
Our Lady of Czestochowa
Sacred Heart
Soaring Heights
St. Aloysuis
Hoboken Charter
Hamilton Park Montessori
St. Nicholas School
Select School:
*
Please select
050 - ACADEMY 1
004 - F R CONWELL MIDDLE SCH
Student Name
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First
Last
Middle Name
DOB
*
MM
/
DD
/
YYYY
Birthplace
*
Birth Country
*
Gender
*
Please select
Male
Female
Other
Race/Ethnicity
*
Please select
Asian
African-American
Hispanic
Native American
Pacific Islander
White
Other
Student Lives With:
*
Relationship
*
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone #
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Emergency Phone#
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Email
*
Parent/Guardian's Name:
*
Proof of residency:
*
Select the smallest File size to upload
Parent/Guardian Photo ID
*
Select the smallest File size to upload
PART B:
Required Registration Documents to Finalize Process:
● Photo ID of Parent/Guardian
● Proofs of residency (current telephone bill and utility bill)