2020-2021 NSHS Registration

2020-2021 Registration

*You will have the option to upload a photo of your birth certificate and proof of residency at the end of the application. If you have those already uploaded to your computer/device you are using to apply, then we can start you at N.S.H.S. right away!*
Student Information

Students ages 14 - 21 years old are eligible to register
Student's Name *

First Name Last Name
Student's Birthday *

Month Day Year
Age *
Student age
Student Cell Phone *
Student Email *
example@example.com
Student's Address *

Student Address

Apartment Number

City State

Zip Code
Parent/Guardian Name:
REQUIRED for students ages 14 - 17 years old

Special Education

These questions let us know if at your previous school you received special accommodations for your learning
Does/Did the Student have/had an Individual Education Plan (IEP) or receive any special services at school now/in the past? *

Yes No
Does/Did the student have a 504 or receive classroom accommodations now/in the past? *

Yes No
Does/Did the student have a Written Education Plan (WEP)? *

Yes No

North Shore High School Emergency Medical Form

In case of an emergency, please provide contacts we can reach out to to inform them of what is going on. IF YOU HAVE LISTED PARENTS/GUARDIANS EARLIER IN THE APPLICATION, PLEASE CHOOSE DIFFERENT CONTACTS FOR US TO CONTACT.
Emergency Contact #1 Name (other than Parent/Guardian) *
First and Last Name - Cannot be a name already listed on application
Relationship: *
Best Contact Phone Number: *
Emergency Contact #2 Name (other than Parent/Guardian)
Relationship:
Best Contact Phone Number:
Treatment for Emergency Situations

Please provide either a doctor's name or a hospital where you would like to be transported if something where to happen to you at the school building.
In the event of an emergency, I give consent for North Shore High School to contact the doctor or hospital provided below if I am unresponsive (passed out). *

Yes No
Student's Doctor Name
If you answered YES above, doctor's name/phone number or hospital name is needed.
Student's Doctor Phone Number
Preferred Hospital Name in a Medical Emergency
The closest hospital to N.S. High School is Marymount Hospital (Cleveland Clinic). Change the name if you would like to be transported elsewhere.
City of Hospital
If you answered NO above, please provide instructions on what we should do during an emergency if you are unresponsive:
This information will be used to make sure you receive treatment when you are unable to communicate

North Shore High School Release of Records
Consent for North Shore High School to Request Previous School Records

By signing, you are allowing for North Shore High School to request your student records from the last school you attended.
Parent/Guardian/Adult Student Signature for Release of Records: *

Clear

Documents Needed for Enrollment

**You do not need these documents right now if you do not have access to them. Hit submit to send in your application. We will need copies eventually to begin your classes.**
Upload Parent/Guardian Proof of Residency Document - Some examples include Lease, Electric, Water, Gas Bill, Bank Statement or other Official Document with parents/guardian address (including students 18-22). If the bills are in the student's name, we will also need a proof of income (paystub in student's name)

Click to Upload Document
Please take a photo of the entire 1st page of the document that lists the address. Cancel of
Upload a Copy or Photo of Student's Birth Certificate

Click to Upload Document
If you don't have this we can help you get a copy from your last school. Just submit the application without it. We do need a parent proof of residency to finish your registration. Cancel of
Should be Empty:

2020-2021 Registration