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Early College Academy Inquiry Form

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First, tell us a bit about yourself:

Which Early College Academy track are you interested in?

First Name

Preferred First Name

Last Name

Birthdate

Birthdate

Personal Email Address

Cell Phone

May we text you?

Parent Email

Parent Cell Phone

Next, tell us your academic plans:

What school do you currently attend?

CEEB Code

What year do you expect to graduate from High School?

What year do you expect to graduate from High School?

How did you hear about Early College Academy

Other:

15200 Kutztown Rd., Kutztown, PA 19530

610-683-4000

TDD 610-683-4499

Safety & Emergency

Student Consumer Information

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Non Discrimination/Title IX

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