2023-2024 Enrollment Application Document Uploads
Upload your students immunization forms, birth certificates, IEP (if applicable) & a current photo on a white or light colored background. You MUST complete the required uploads for each student being enrolled.
Student #1
Name:
*
First Name
Last Name
DOB:
*
-
Month
-
Day
Year
Date
Age:
*
2023-2024 Student Grade:
*
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Dual Enrollment (11th)
Dual Enrollment (12th)
Immunization Forms:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Birth Certificate:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current Photo (w/ white or light background):
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
IEP:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Student #2
Name:
First Name
Last Name
DOB:
-
Month
-
Day
Year
Date
Age:
2023-2024 Student Grade:
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Concurrent Enrollment (11th)
Concurrent Enrollment (12th)
Immunization Forms:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Birth Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current Photo (w/ white or light background):
Browse Files
Drag and drop files here
Choose a file
Cancel
of
IEP:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Student #3
Name:
First Name
Last Name
DOB:
-
Month
-
Day
Year
Date
Age:
2023-2024 Student Grade:
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Concurrent Enrollment (11th)
Concurrent Enrollment (12th)
Immunization Forms:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Birth Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current Photo (w/ white or light background):
Browse Files
Drag and drop files here
Choose a file
Cancel
of
IEP:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Student #4
Name:
First Name
Last Name
DOB:
-
Month
-
Day
Year
Date
Age:
2023-2024 Student Grade:
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Concurrent Enrollment (11th)
Concurrent Enrollment (12th)
Immunization Forms:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Birth Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current Photo (w/ white or light background):
Browse Files
Drag and drop files here
Choose a file
Cancel
of
IEP:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
I hereby certify that, to the best of my knowledge, the provided information is true and accurate.
Parent/Guardian's Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Today
Email
*
example@example.com
Print
Save
Continue
Continue
Should be Empty: