Enrollment

"*" indicates required fields

Name*

Address*

Student Email*

Student Phone Number*

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Relationship

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Student ID

High School Graduation Year*

High School Name*

Contract Grade Level

Contract Year*

Pool of Universities Interested in Applying To

PSAT - EBRW Score

PSAT - Math Score

Total PSAT

SAT - EBRW Score

SAT - Math Score

Total SAT

ACT - English

ACT - Mathematics

ACT - Reading

ACT - Science

ACT - Composite

Cumulative Unweighted GPA

Cumulative Weighted GPA

First Parent Name*

First Parent Email*

First Parent Number*

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First Parent Relationship

Second Parent Name*

Email (Parent #2)*

Phone (Parent #2)*

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Second Parent Relationship