Application for Enrollment
Student Information
Please complete ONE FORM for EACH CHILD applying to the school.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student Email *
Your answer
Student Birthdate
MM
/
DD
/
YYYY
Student Street Address *
Your answer
Student City *
Your answer
Student State *
Your answer
Student Zip Code *
Your answer
Student Phone Number *
Your answer
Student's Current Grade Level *
Last School Attended? *
Your answer
Parent/Guardian Information
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent Address if different from student
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
List siblings currently enrolled at SLSPA:
Your answer
Does your student receive any special services (i.e.p/504)? Choose One *
Student’s main area of interest is: *
to help us predict faculty needs only - students may take classes from various areas of interest.
Required
The information listed above is true and correct. *transcript must accompany application. Incomplete applications will not be processed. Any falsification nullifies this application.
You will need to send a copy of your current transcript to enroll@saltlakespa.org to complete your application.
For more information: 801-466-6700
How did you hear about us? *
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