SLI App – STUDENT APPLICATION


Enter in this format MM/DD/YYYY or 01/24/1995





You may also enter a parent’s e-mail address if you cannot create one at this time.



Students should NOT list nycstudent.net emails. You may also enter a parent’s e-mail address if you cannot create one at this time.



Please provide a valid number.
We may need to speak with you about your application.



Please provide a valid number.
We may need to speak with you about your application.



Include your apartment number with your street adress.
For example: 3614 35th Street Apt 1A, Long Island City, NY


Choose or write the city in your home mailing address.

Only if your city is not listed above, choose “
” and write it here:






Only if your Middle School is not listed above, write it here:









Choose the one you most consider yourself to be.

, please indicate which race or ethnicity you identify as (e.g. Black and Asian; Latinx and White).


(please check all that apply)

, please write the language you speak at home.



Choose the one you most consider yourself to be.



Please list the name and relationship of the person who referred you

Please list the name and relationship of the person who referred you

FAMILY INFORMATION

Questions about your parents and family.



please tell us the name of the family member.




(include yourself, siblings, parents, step-parents, and any other family/friends who live with you full-time):


Write “NA” if not available.


Write “NA” if not available.



Please provide a valid number.
We may need to speak with you about your application.
this question if not available.



Please provide a valid number.
We may need to speak with you about your application.
this question if not available.


this question if not available.

Please retype the email to confirm:


this question if not available.

Please retype email to confirm:




This form will not submit unless all required questions have been answered. Follow the directions for each question. Some you can skip and some require you to write “NA” if you can not answer it. If you have any issues e-mail [email protected]