2019-20 College In High School Year-Round Registration
Fill out this form to apply for the 2019 College in High School Year-Round Program.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
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Student Sex *
Student Cell Phone *
Your answer
Student Email *
Your answer
Did you participate in the Summer 2019 College in High School Program? *
Intended College Major *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Current High School *
Grade *
If you're a senior, what college/university do you intend on attending in Fall 2020?
Cumulative GPA *
Your answer
How did you hear about the Neighborhood Learning Alliance College in High School Program? *
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