Centers for Advanced Study Registration
Public Health and Advanced Medical Studies - White Knoll High School
Last Name *
First Name *
Middle Name
Home High School *
Current Grade Level
Last name of your School Counselor *
Student 's school e-mail address *
Home Mailing Address:
Street Address or Post Office Box *
City *
State *
Zip Code *
Parent/Guardian Information
Name *
e-mail Address *
This may used to contact you if there are any questions regarding the registration information provided.
Alternate e-mail Address
(optional)
Statement of Intent
After reviewing the course curriculum description for my chosen Center for Advanced Study, I am submitting this completed registration form with the intent to be a Center student. I have met the prerequisites required for the Center of my choice. I understand that I will be expected to complete all Center classes during the next 2-3 years as specified in the course catalog. *
Required
In the event that a Center for Advanced Study has more students to register than the Center can accommodate, an over-subscription rubric will be used to assign students to the Center. You can find this over-subscription rubric under the Resources heading on the Center webpage where you accessed the online registration form. *
Go to (http://www.lexington1.net/centersofstudy/default.aspx) and click on your chosen Center.
Required
When you submit your form, you should receive an immediate confirmation indicating that your response has been recorded. If you do not see this message, your information MAY NOT be submitted. If you do not receive a confirmation that your response has been recorded, please resubmit your registration or contact the Center Lead Teacher. *
Required
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