Enrollment is now open.

We are currently enrolling part-time students, in grades 9 through 12.
Please complete the form below to begin the process.

Form takes about 5-7 minutes to complete.

Student First Name

Student Last Name

Term Applying For

Student Birthdate (mm/dd/yyyy) Must be between the ages of 12 and 19 to attend.

Student Gender

Student Country of Birth

Student State of Birth

Student Email

Student Phone

Current School

Student Current Grade Level

The year student plans to graduate high school

Address One

Address Two

Country

City

State

Zip

Student Race

Student Ethnicity

Student's Primary Language

Parent/Legal Guardian Name

Parent/Legal Guardian Last Name

Relationship to Student

Parent/Legal Guardian Email

Parent/Legal Guardian Phone

Parent/Guardian Address 1

Parent/Guardian Address 2

Parent/Guardian City

Parent/Guardian State

Parent/Guardian Zipcode

Comments

Part-Time Enrollment