Online Application (For Milwaukee Residence Only)
Please fill out your information below and one of our Recruiting Specialist will get back to you as soon as possible.
(If would like to enroll more than one child simply fill out and submit an Online Application for each child).
2733 West Wisconsin Ave | Milwaukee, Wisconsin 53208 | Phone: (414)342-1671 | Email: info@cmtravisacademy.org
(C) 2008-2010 Ceria M. Travis Academy, Inc. All rights reserved. Designed by JL PROMOTIONS.
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Student Last Name
Student First Name
M.I
Date Of Birth Month/Day/Yr.
Student Home Street Address
City
State
Zip
Telephone Area/No.
Parent/Guardian Last Name
Parent/Guardian First Name
M.I
School Student is Currently Attending
STUDENT ELIGIBILTY
Please answer the following three (3) questions to determine the student's eligibility for the Milwaukee Parental Choice Program 2009-2010 school year.
1. Did your child participate in the Milwaukee Parental Choice Program during 2008-2009 school year?2. Does your child have a sibling that participated in the Milwaukee Parental Choice Program during the 2008-2009 school year? Sibling means a brother or sister who shares at least one parent by birth or adoption or by his or her parents' current marriage. If you answered yes to question 2, complete the following sibling information. List only one sibling. Student Last Name
Sibling Name
Sibling Date of Birth Mo./Day/Yr.
School Sibling Attended During 2008-2009
Email Address of Parent/Guardian
Please Click the submit button once you have completed the Online Application
Student Grade Level
