El Centro Enrollment Form

El Centro de Estudiantes is a successful alternative high school, now in BREWERYTOWN (1241 NORTH TANEY STREET). We serve 200 students who are over-age, under-credited, and about two years behind or "off track." We can accept students with up to 13.5 high school credits.

There are short-answer questions at the bottom of this form. Please set aside some time to complete them! There is also one short-answer question for an adult supporter to complete.

Finally, there will be paper forms you may need to submit to the school as well. Someone from our front office will be in touch with you soon! Check our calendar or news page for updates about the next orientation.

Required fields marked *

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email 1*

Answer Required

Phone 1*

PLEASE USE NUMBERS ONLY (NO DASHES) / POR FAVOR USE NÚMEROS SÓLO

Answer Required

Full name of parent(s) / guardian(s) that student lives with:*

Nombre completo de padres / encargados con quienes vive el estudiante:

Answer Required

Phone number of parent(s) / guardian(s) that student lives with: -- PLEASE USE NUMBERS ONLY*

Número de teléfono de padres / encargados con quienes vive el estudiante: -- POR FAVOR USE NÚMEROS SÓLO

Answer Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Demographic Information

Gender*

Genéro

Answer Required

Date of birth*

Fecha de Nacimiento

Answer Required

Race / Ethnicity

Identidad Etnica

Answer Required

African-American

Asian / Pacific Islander

Caucasian

Hispanic / Latino

Native American

Multi-Ethnic

Other:

Have you ever had an Individualized Education Plan (IEP)/504 Plan?*

¿Alguna vez has tenido un Plan Educacional Individualizado (IEP)/Plan 504?

Answer Required

Yes

Other:

If you answered "Other" above, which language is spoken at home?

Answer Required

Tell us about yourself!

Please list ALL the high schools you have attended.*

Answer Required

What is your favorite thing to do?*

Cual es tu actividad preferida?

Answer Required

Please explain why you want to attend El Centro. Your response will help us to learn more about you as a student.*

Por favor, explica porque quieres matricularte en El Centro. Tu respuesta nos ayudara aprender mas sobre ti como estudiante.

Answer Required

Tell us about a difficult time in your life from which you’ve learned a valuable lesson.*

Comparte una epoca dificil en tu vida de la cual hayas aprendido una leccion valiosa

Answer Required

Tell us about a time when you were a leader.*

Cuentanosde alguna experiencia como lider.

Answer Required

Imagine it is several years from now and you are graduating from El Centro – what plans do you have for the future?*

Imagina que te estas graduando de El Centro – cuales son tus planes para el futuro?

Answer Required

Please explain why you want your son/daughter to attend El Centro. Why do you feel El Centro is the best option for your child? *

Por favor, explique por que esta interesado en que su hijo(a) estudie en El Centro. Por que cree usted que El Centro es la major opcion?

Answer Required

Big Picture Philadelphia

Please fix the highlighted areas below before submitting.

El Centro Enrollment Form