SCHOLARS PROGRAM
Enrollment Application
Parent/Guardian
First Name
Last Name
Parent/Guardian
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Does student live with parent?
Student Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Grade
Birthdate
Gender
Ethnicity
English Language Learner?
Name of Previous School
What learning accommodations does your child require?
What are your child's plans after graduating from high school?
What are your child's hobbies/interests?
Submit
Should be Empty: