Individual Clas PIF Form

Individual Classes

Enroll and Pay
Who did you speak with*

ClieffordKiel RhapaelQueenSomeone in chat (Emma, AI Bot)I didn't speak with anyone
Need NCAA Clearance*

YesNo
First Name*
Last Name*
Date of Birth*

MonthDay Year
Gender*

MaleFemale
Grade Level*
Social Security*
Ethnicity*

Yes No

Hispanic

	Yes	No
Hispanic

Race*

	Yes	No
American Indian or Alaska
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Two or More Races

Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number*

Area Code Phone Number
E-mail*
Have you taken the prerequisite for this class?*

YesNo
Please refer to this List of Courses Available and select the courses you wanted to take on dropdown below (You can take up to 3 1/2 course credit)
Course Selection [ ** Can type in the Course title on the "Filter" box for easy searching]*
Parent Information*

First Name Last Name
Parent E-mail *
Phone Number*

Area Code Phone Number
Please provide your school information to send your credits.
Name of School*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Date School Needs Your Transcript*

MonthDay Year
Pay for your Individual Class(es) Below:

Registration is $100.00 plus your tuition.

24/7 Unlimited Tutoring (1-time fee) $100.00 (Optional)

Individual Class Fees

1/2 Credit (or 2 Quarters Hrs) = 0.50 (1/2 credit) $150.00

1 Credit (or 4 Quarters Hrs) = 1.00 Full Credit $300.00

You can also add 24/7 tutoring to help you with your classes for $100 instead of $200
Parent / Guardian Type Name to Enroll Your Child*

First Name Last Name
Upload your Parent Phot ID or Fax to TSA*
Enter Total Amount:*
Would you like to add 24/7 Tutoring?

YesNo
24/7 Tutoring
Transcript Amount:*

Amount Due

USDTuition and Fees .30 + 2.9%

Individual Classes