Enrollment Registration Questionnaire

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Ms. Easter, Enrollment Coordinator
enroll.aul@gmail.com | (303) 282.0900 extension #318

Interested in Attending *

Fall 2014-2015

Summer School 2015

Requesting GED Information

Required

Student's Name (First & Last) *

Date of Birth *

Last School Attended *

Month/Day/Year student last attended school? *

Denver Public School ID#

Grade *

First Year Freshman

Freshman / 9th Grade

Sophomore / 10th Grade

Junior / 11th Grade

Senior / 12th Grade

IEP/SPED? *

If you answered yes, please bring a copy of current IEP.

Yes

Telephone Number *

Email Address *

Home/Mailing Address *

Student's Status *

Under 18 years of age

18 years of age, or older

Homeless

Lives with Parent or Parents

Lives with a Relative

Lives Independently

Other:

Required

Do you live in the City and County of Denver? *

Yes

Other:

Parent/Guardian's Name *

Parent/Guardians Telephone Number *

Parent/Guardians Email Address *

Parent/Guardian Home Address *

Any additional information?

Submit

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