School Discipline and Attendance Form

A student currently enrolled at your school has applied for admission into the Arkansas School for Mathematics, Sciences and the Arts. That student should have provided you with a written release prior to asking you to complete this form on their behalf.
Student Information (Legal Name)
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Your Information
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1. Has the above-named student been subjected to any disciplinary action from school?
2. Has the above-named student had any extended or excessive absences from school in the last two school years?
3. Highest level of courses offered for 10th grade students:
4. Describe this student's course of study within your school's curriculum.
Class Rank and GPA
Test Scores
Graduating Seniors College Enrollment (over last three years)
I understand that the information provided on this form is confidential and will not be shared with outside parties.
For the purpose of the digital signature, please type your name. You are also asked to provide a word or phrase that we may use to verify the authenticity of your submission should any questions arise by the admissions team.
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Arkansas School for Mathematics, Sciences and the Arts

200 Whittington Avenue Hot Springs, AR 71901
Phone:
501-622-5100
Toll Free:
800-345-2767
Fax:
501-622-5108

A Campus of the University of Arkansas System

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