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101 W. 29th Street Anderson, IN 46016 | P: (765) 649-8472

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Application For Enrollment

Student's Last Name:

Student's First Name:

Student's Middle Initial:

Student's Birthday (mm/dd/yyyy):

Home Address:

City:

State:

Zip Code:

Are siblings currently enrolled at APA?

Current Grade Level

Parent/Guardian's Name:

Phone Number:

The Anderson Preparatory Academy is open to all applications who are residents of Indiana without regard to race, religion, age, sex, national origin, sexual orientation or identification, or disability. In making positive affirmation of this policy the Academy is guided by both the letter and the spirit of Title VI of the Civil Rights Act, Title IX of the Higher Education Act of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990.

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