Sarasota Military Academy 2021-22 Application

Student Legal Name

First*

Middle

Last*

Suffix

Grade you are applying for?*

Date of Birth* (mm/dd/yyyy)

Place of Birth*

Address 1*

Address 2

Apt. #

City*

State*

Zip Code* (ex. 06108 or 06108-0809)

Manatee County Resident?*

Yes No

How did you hear about us?*

If other, please let us know here

Why SMA?*

What are you most interested in?

If other, please let us know here

Parent/Guardian Name

Prefix

First*

Middle

Last*

Suffix

Parent/Guardian Email*

Phone*

Ext

Sibling attends SMA*

Yes No

If yes,Sibling Name

Sibling Applying to SMA*

Yes No

If yes, Sibling Name

Student lives with*

Special custody/health problems we should be aware of?

Prior Schooling

Current School*

School Location*

Was student ever retained?*

Yes No

What grade level?

The School will provide the programs and services, including supplemental supports and services, modifications and accommodations, to ensure the academic success of students with disabilities whose education needs can be met in a regular classroom environment with at least 80% of instruction occurring in a class with non-disabled peers.

Sarasota Military Academy complies with the State Statutes on Veterans' Preferences and prohibits discrimination in its educational programs, services or activities, or employment conditions or practices n the basis of race, color, religion gender, sexual orientation, age, ethnic or national origin, genetic information, marital status, qualified disability defined under the ADAAA, or on the basis of the use of a language other than English, except as provided by law.

Parent/Guardian Submitting Application*

Acknowledgement *

I verify that all the information provided is true and correct to the best of my knowledge. Florida Statutes 837.06 provides that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his/her official duty shall be guilty of a misdemeanor of the second degree.

Agree

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