New Student Registration 2019-2020
Please complete this form only if you are a new student registering for the 2019-2020 school year. Continuing students should fill out the Intent to Return form.
Email address *
Student's Name *
Last, First Middle
Your answer
Street Address *
Your answer
City *
Your answer
County *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Student's Cell Phone
Your answer
Student's Email Address *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Place of Birth *
City, State
Your answer
Gender *
Grade Enrolling 2019-2020 *
Last Grade Attended *
Last School Attended *
Your answer
Resident School District *
Your answer
Please indicate any of the following apply to the student: *
Required
What is the student's primary language?
Your answer
Race (Please select all that apply) *
Required
Ethnicity *
Do you want to enroll in our regular K-12 program, or do you want to enroll in our Early College program? *
Next
Never submit passwords through Google Forms.
This form was created inside of Sheridan AllPrep Academy. Report Abuse