El Dorado High School
The information gathered on this form will be used to create your school application. The created application will be available for you to review and modify when you report to our campus to complete the enrollment process.
Student information
SLName *
Student's Last Name
Your answer
SFName *
Student's First Name
Your answer
SMName
Student's Middle Name
Your answer
SAge *
Age of the student
Your answer
GL *
Grade Level for the 17-18 school year.
Your answer
SGender *
Student's Gender
SEthnicity *
Student's Ethnicity - Please select one of the following options.
SRace *
Student's Race - Please check ALL that apply
Required
SEmail
Student's email address
Your answer
DOB *
Date of Birth
MM
/
DD
/
YYYY
BCity *
Birth City
Your answer
BState *
Birth State
Your answer
BCountry *
Birth Country (example: United States, Mexico, France, Canada)
Your answer
SCell
Student's Cell Number (Please include area code and dashes xxx-xxx-xxx)
Your answer
Previous School Information
PSchool *
Name of previous school attended
Your answer
WDate *
Withdraw date from previous school (month and year)
Your answer
PSLocation *
Location of previous school attended. (City, State, Zip) Write "Unknown" if you are not aware of the location
Your answer
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