HLS Fort Myers Enrollment Application
2022-2023 School Year
Family Information
Mother
*
First Name
Last Name
Mother's Phone
*
Mother's Email
*
example@example.com
Mother's employer and position:
*
Mother's highest degree and area of education:
*
Ex: BA English
Father
*
First Name
Last Name
Father's Phone
*
Please enter a valid phone number.
Father's Email
*
example@example.com
Father's employer and position:
*
Father's highest degree and area of education:
*
Ex: BA English
Marital Status
*
Married
Divorced or separated
Widowed
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Children in Household:
Church Affiliation:
*
How did you hear about HLS Fort Myers?
Student Information
Configurable list
*
Student(s) applying for enrollment:
*
Please include name and rising grade level for each student.
Tell us a little about your student(s), including education history, if applicable (schools or co/ops attended, curriculum, classes, etc.):
*
Thank you for applying! Once your application is submitted, you wll be contacted by the Director.
Submit
Should be Empty: