2026-2027 OIL Alpha Academy Freshmen Application
Thank you for your interest in Alpha Academy. This application is designed to help us learn more about you, your goals, and your leadership potential. Alpha Academy seeks young men who are committed to personal growth, academic excellence, leadership, and service. We encourage you to answer each question thoughtfully and honestly as we consider your application.
Applicant Name (First, Middle, Last)
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Date of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Street Address
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City, State, Zip-Code
*
Cell Phone Number
*
Email Address
*
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Parent/Guardian General Information
Parent Guardian Name 1
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Relationship to Applicant 1
*
Parent Guardian Name 2
Relationship to Applicant 2
Street Address
*
City, State, Zip-Code
*
Cell Phone Number
*
Email Address
*
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Emergency Contact
Name
*
Street Address
*
City, State, Zip-Code
*
Phone Number
*
Any Specific Emergency Contact Instructions
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Medical Information
Any medical concerns?
*
Allergies (food, medication, seasonal, etc.) Please explain
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Current Medications
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Any specific emergency procedures?
*
Physician's Name
Physician's Phone Number
Health Insurance Provider
(Optional Question)
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Education
High School
*
Ex. ABC High School
What is your current grade classification?
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Ninth Grade (9th)
Which of the following describes your school attendance last year?
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I missed very few days of school (0-3 days)
I missed some days of school (4-7 days)
I missed many school days (7+ days)
What are your post-graduation plans?
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2- year College or Certification Program (ie. Technical College, Community College)
4-year College/University
Military Training
Full-Time Employment
List extra-curriculum activities are you involved in? (clubs, organizations, sports team.. etc)
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List days and times of extra-curriculum activities listed above
Are you employed?
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Yes
No
If yes, what is your work schedule? Be as specific as possible.
Career Interests - Check all that apply
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Business
Engineering
Law
Medicine
Education
Government
Military
Skilled Trades
Entrepreneurship
Technology
Arts
Other
Personal Development - Which areas would you most like to develop?
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Business
Engineering
Law
Medicine
Education
Government
Military
Skilled Trades
Entrepreneurship
Technology
Arts
Other
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Honor Statement
I certify that the answers given herein are true and complete to the best of my knowledge. For verification purposes, I also authorize the investigation of all information contained in this application as may be necessary for determining my acceptance. I understand that false or misleading information given in my application may result in immediate dismissal from the program.
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Yes
No
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Character Reference
Please provide the information for one adult (non-family member) who can speak to your character, leadership potential, and readiness for Alpha Academy. References may not be completed by parents/guardians, siblings, other relatives, or friends. Appropriate references include teachers, school counselors, administrators, coaches, employers, supervisors, pastors, or community leaders.
Reference Name
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First Name
Last Name
What is your relationship with this applicant?
*
Teacher/Coach/School Counselor/Administrator
Former or Current Supervisor/Manager
Community Representative
Organization
*
Reference Email
*
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Note:
Once your application is submitted, Alpha Academy will email your reference a recommendation form with instructions for completion. Your application will not be considered complete until the recommendation form has been received.
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