Intent to Submit IHP Application
Please complete this web form before submitting the IHP Application itself (one page, front and back) to the SLC Office. There is no residency requirement for the IHP Application. Deadline for submission of all IHP Application materials is Jan. 27, 2017.
Applicant First Name *
Your answer
Applicant Last Name *
Your answer
Applicant will attend the mandatory IHP Assessment on: *
Applicant Home Address: Number/Street *
Your answer
Applicant Home Address: City *
Your answer
Applicant Home Address: Zip Code *
Your answer
Best Contact Email *
Your answer
Best Contact Phone Number *
Your answer
Date of Birth *
Your answer
Current School *
Your answer
Parent/Guardian Salutation: Please write parent/guardian names as you would like your correspondence addressed. For example: "Ms. Mary Smith and Mr. John Brown" *
Your answer
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