New/Transfer Student Enrollment Application Form

NEW/TRANSFER STUDENT ENROLLMENT APPLICATION

Any changes/updates must be made with the Registrar.
Confidential Information will be protected by the Family Educational Rights and Privacy Act(FERPA)

NOTE: For Transfer Students.

Failure to notify of serious infractions from previous school(s) will affect enrollment status.

STUDENT INFORMATION (Full Name as shown on Birth Certificate)

Name
Name
First Name
Middle Name
Last Name
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
Physical Address?
Physical Address
Physical Address
City
State/Province
Zip/Postal
Gender
School Mailing Address
School Mailing Address
City
State/Province
Zip/Postal
School Type

EDUCATIONAL SERVICES

PARENT/GUARDIAN INFORMATION

Name
Name
First Name
Middle Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country
Name
Name
First Name
Middle Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

AUTHORIZED STUDENT CHECK-OUT INFORMATION (IMMEDIATE FAMILY MEMBERS ONLY) - MUST BE 21 YEARS OLD WITH A PROPER ID

Name
Name
First Name
Last Name
Name
Name
First Name
Last Name
Name
Name
First Name
Last Name

Declaration