Helias Interest Form
Hello, thanks for visiting Helias. Please fill out this form about your information and interests.
Student's first name *
Your answer
Student's last name *
Your answer
Student's birthdate *
Example: 10/03/1998
Your answer
What grade are you in right now? *
Your answer
Gender *
Required
What is your mother's name (first & last)? *
Your answer
What is your father's name (first and last)? *
Your answer
What is your mother's cell phone number?
Your answer
What is your father's cell phone number?
Your answer
What is your mother's email address? *
Your answer
What is your home street address? *
Your answer
What city is your mailing address? *
Your answer
State: *
Your answer
Zip Code:
Your answer
Where do you go to school right now?
What church do you belong to?
Your answer
What high school do you plan to attend? If undecided, write "undecided"
Your answer
Please list activities or clubs in which you are interested.
Your answer
What is one question you have about high school?
Your answer
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