JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
High School Application
To be admitted into QCACHS, complete and submit form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Scholar First Name
*
Your answer
Scholar Last Name
*
Your answer
Current Grade
*
Your answer
Grade Applying For
*
9th
10th
Date of Birth
*
MM
/
DD
/
YYYY
Full Address
*
Your answer
City of Residency
*
Your answer
Zip Code
*
Your answer
Middle School Name
*
Your answer
Middle School Address
*
Your answer
Principal of Middle School
*
Your answer
Has the scholar passed Algebra 1
*
Yes
No, they have not taken this course yet
No, they did not pass
What is the Scholar's strongest subject:
*
Your answer
Parent First Name
*
Your answer
Parent Last Name
*
Your answer
Parent's Cell Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Queen City Academy Charter School.
Report Abuse
Forms
