THIS FORM MUST BE RETURN TO BE ADMITTED INTO THE SENIOR CLASS

Copy and Paste into your Email, fill out, and send to matanzasacademy@comcast.net

Senior Exit Application

Senior Exit Fee $100 due with Application

1.  First, Middle and Last Name:

2.  Year Graduating:

3.  Credits Needeed for Graduating Check List:

_____4 English

_____4 Science

_____4 Math (Algebra I & higher),

_____4 History

_____2 Theology/Bible

_____.50 Health 

_____.50 Life Management

_____1 PE

_____4 electives

4.  Have Taken the ACT or SAT:    YES           NO (fill out next question)

5.  Scheduled to take the ACT or SAT on:  (SAT.org    ACT.org            DATE taking:

 6.  Height with shoes (BLACK) to be worn at Graduation:

7.  Exit Fee (includes Cap/Gown, Diploma, Transcripts)  $100 paid:       YES             NO

8.  Class Ring check with Walmart, Herff Jones, Jostins about styles and build your own class ring to fit your budget.

9.  (Student facsimilie)                                , (Parent facsimilie)                                        I understand that I must have all classes finished on or before Graduation and that Transcripts will not be mail to perspective schools if there are outstanding fees.   

Date Signed: