Hermiston ONLINE Enrollment Form
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Student's First Name *
Student's Last Name *
Students Grade Level *
What grade will the student be going into this school year?
Students Date of Birth *
MM
/
DD
/
YYYY
Student's Email Address *
Best phone number to reach the student *
Students Gender *
Ethnicity *
Primary Place of Access for Online Courses
Clear selection
Primary Reason for Taking Online Courses
Has the student taken online courses before? *
Required
Submit
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