Enrollment Application Step One: Student Information

If student is under the age of 18,
a guardian must apply and approve all information provided.

Guardian Information

(Address same as student)

Bold fields are required (if entering a guardian)
First Name	*
Middle Name
Last Name	*
Address	*

City	*
Country
State State/Province	*
Zip/Postal Code	*
Home Phone	*
Cell Phone
Email	* Wrong!
Legal Guardian Acceptance: As the legal guardian of the student listed in the student information section, I hereby authorize all data submitted to be correct and accurate. By checking the Legal Guardian acceptance box, I am verifying myself as the legal guardian and am responsible for the student information and academic requests. I also understand I will be responsible for all aspects of the account that are legal and binding. Check to Verify... << Check Box

Enter your name EXACTLY as you want it to
appear on your High School Diploma.

Bold fields are required.

First Name

Middle Name

Last Name

Address

City

Country

State

Zip/Postal Code

Home Phone

Cell Phone

Gender

Ethnicity

* Wrong!

Date of Birth

SSN #

Primary Language

Referred by

Name of person or
Place you saw Ad