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Information that is red is required

Contact Information

Home Address

 Ext:
 Ext:

Mailing address, if different from Home address

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Parent 1 Info

Please fill out your parent information below. Only use the parent 1 section if both parents live in same household. Only fill out the parent 2 section if parents live in separate households.
 
Please check here if parent address is same as student
 Ext:
 Ext:
 Ext:

Parent 2 Info

Only fill out this section if there is a second parent household
 
Please check here if parent address is same as student
 Ext:
 Ext:
 Ext:

Academic Information

Please use the Last School Lookup to find the name of your High School. If you are unable to find your school please type in the name under the search.
High School Lookup
High School Lookup
College Lookup
College Lookup
Please choose an area of study. If you have not yet decided, please choose undeclared.

Additional Information