Thank you for your interest in joining the Nicholas Academic Centers

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are excited that you would like us to join you on your journey to college and beyond.

Please fill out the following form and we will send you an online link to apply to our centers.

We look forward to meeting you!

Email *

Today's Date *

YYYY

First Name *

Middle Name

Last Name *

Phone Number *

Address *

Do you attend a school that is a part of the Santa Ana Unified School District? *

Yes

Option 3

Select the name of your school *

If your School Name is not listed above, please include the name of your school below:

School ID Number *

Which NAC are you interested in? *

Please read over your options carefully; some centers only take applicants from specific schools.

NAC I - Downtown Santa Ana - Open to students from SAUSD and all over Orange County

NAC II -- Valley High School - Open to Valley and SAUSD Schools

NAC III -- Century High School - Open to only Century HS (update Sept 2023: accepting SAUSD apps for juniors & seniors)

Select your Grade Level *

8th

9th

10th

11th

12th

GPA --- Grade Point Average 3.6 *

(select the one that applies to you)

4.0 or Above

3. 5 or Above

3.0 or Above

2.7 or Above

2.5 or Above

2.0 or Above

None -- I am a Freshman or 8th grader

Other:

Select the description that best applies to you: *

One of my parents has a bachelors degree

Both of my parents have a bachelors degree

None of my parents have a bachelors degree

Do you qualify for free or reduced lunch at your school? *

Yes

Not sure

We will be emailing you a link to our online NAC application. We thank you for your interest.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of the Henry T. Nicholas Education Foundation.

Does this form look suspicious? Report

Forms