Trillium Academy New Student Enrollment Form: 2018-2019
We think Trillium is a wonderful place to be! Thank you for considering us as a great educational option for your student. Please fill out the application below. Applications are accepted in the order they are received. Spaces are provided based on availability and students will be placed on the waiting list in the order applications are received if space is not available with the exception of sibling preference. We look forward to meeting you!!!
Applicant Information: 2018-2019
Please enter all information as it appears on birth certificate
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
School District Student Lives in *
Your answer
Gender *
Address *
Street
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Primary Phone Number *
(xxx)xxx-xxxx
Your answer
Is this a temporary residence? *
Date of Birth *
mm/dd/yyyy
Your answer
Student is currently under disciplinary review or suspension procedures at current school? *
(if yes, please provide documentation)
Student has been expelled in the last 180 days? *
(if yes, please provide documentation)
Grade ENTERING in August of 2016 *
CURRENT Grade Level 2015-2016 *
Parent/Guardian Information: For Contact Purposes
Parent/Legal Guardian Name *
First and Last Name
Your answer
Relationship *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Phone Number *
(xxx)xxx-xxxx
Your answer
Cell Phone Number *
(xxx)xxx-xxxx
Your answer
Email Address *
Your answer
Student Resides With:
How did you hear about Trillium? *
Your answer
If someone referred you to Trillium Academy, please type their first and last name below.
Your answer
My student has a sibling who is CURRENTLY attending Trillium *
My student has a sibling who will be enrolling for the FALL of 2016 *
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