Application Form

If you are committed and ready to enroll your student with us, please complete this application.
  • Only a parent, legal guardian, or student 18 years of age or older should submit this form.
  • The more information you include, the faster we can get you started.
  • If you have questions you want answered before commiting, please call us at 800-682-7396 or visit:
  • Complete this form separately for each student.

    Student Information
    First Name: Last Name:
    Preferred Name: Middle Name:
    Gender: Date of Birth:
    Student Email: Phone:

    For students entering 10-12th grade, you must upload a previous school transcript.

    Academic Information
    Grade Level Entering: Previous School 1:
    Previous School 2: Previous School 3:
    Previous School Transcript: IEP:

    Enter the billing address associated with your choice of payment for tuition.

    Billing Address
    Street: Apartment:
    City: State:
    Country: ZIP:

    Adding a second parent/guardian is optional, but only those listed can be in contact with us about the student.

    Parent or Legal Guardian Information
    Parent or Guardian 1 Parent or Guardian 2
    First Name: First Name:
    Last Name: Last Name:
    Email: Email:
    Phone: Phone:

    Additional Comments: