Early College Application

Return application to kaweekes@hammond.k12.in.us
Deadline – April 14, 2023

Date Date / MM / DD YYYY
2023-2024 High School:
Student Information
Name: Name: First Last
Gender:

Gender: Male Female
Date of Birth: Date of Birth: / MM / DD YYYY
Current Age:
Current School:
Cell Phone: Cell Phone: - ### - ### ####
Email:
Parent Information
Name: Name: First Last
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email:
Phone Phone - ### - ### ####
Teacher recommendation name:
Please submit teacher letter.

Attach Files

Please mark the box that best describes the level of education for each parent.
	H.S. Diploma/G.E.D.	Some College	1 year degree/cert.	2 year degree	4 year degree	Graduate degree	None of these
Mother	MotherH.S. Diploma/G.E.D.	MotherSome College	Mother1 year degree/cert.	Mother2 year degree	Mother4 year degree	MotherGraduate degree	MotherNone of these
Stepmother	StepmotherH.S. Diploma/G.E.D.	StepmotherSome College	Stepmother1 year degree/cert.	Stepmother2 year degree	Stepmother4 year degree	StepmotherGraduate degree	StepmotherNone of these
Father	FatherH.S. Diploma/G.E.D.	FatherSome College	Father1 year degree/cert.	Father2 year degree	Father4 year degree	FatherGraduate degree	FatherNone of these
Stepfather	StepfatherH.S. Diploma/G.E.D.	StepfatherSome College	Stepfather1 year degree/cert.	Stepfather2 year degree	Stepfather4 year degree	StepfatherGraduate degree	StepfatherNone of these