Thomas Academy Referral Program
Student Information
Student Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
Height
Weight
Have you Graduated from High School
Yes
No
Citizenship
*
United States
Other
Graduation Date
ACT Score
SAT Score
Additional Information
Upload your transcript
*
Browse Files
Cancel
of
Preferred Contact Method
Email
Phone
How did you hear about the Thomas Academy
*
Advertisement
Alumni
Basketball Event
Internet
Referral Source
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Information
Preferred Contact Method
Email
Phone
Submit
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