Student Application Form
*Required field  

What School Year is this Application for? What School Year is this Application for? 2024-2025 Academic Year 2025-2026 Academic Year

What grade level is the scholar applying for? * What grade level is the scholar applying for? * 5 6 7 8

Scholar's First Name*

Scholar's Middle Name*

Scholar's Last Name*

Birth Date*

Street Address*

State*

City*

Zip Code*

Baltimore City Schools ID# (if known):

Current School*

Scholar's grade level for the 2024-2025 school year?* Scholar's grade level for the 2024-2025 school year?* 4 5 6 7 8

Parent/Guardian Name*

Relationship to child*

Are you the legal guardian of the child?* Are you the legal guardian of the child?* Yes No

Email Address*

Cell Number*

Does the scholar have a sister applying to LMCJS?* Does the scholar have a sister applying to LMCJS?* Yes No

Best means of contacting parent/guardian* Best means of contacting parent/guardian* Cell Phone Email

Who refered you?

If so, Name of Sister:

How did you learn about us?* How did you learn about us?* Family Member Scholar Friend Coworker Website Mail Social Media School Fair Other

Were you refered by anyone? Were you refered by anyone? Yes No

Do you have anyone you would like to refer to us? Do you have anyone you would like to refer to us? Yes No

Please share the name, guardian name and guarduan contact information for the scholar you would like to refer.

Is this the first application being submitted for this scholar?* Is this the first application being submitted for this scholar?* Yes No

Signature* (Please Initial)