Education Application Package

EDUCATION APPLICATION PACKAGE

Complete all sections fully and print legibly. Submission of this application does not guarantee admission. The applicant certifies that all information provided in this application is true, accurate, and complete to the best of the applicant's knowledge. False statements may result in denial of admission or rescission of any offer.

Applicant Information

Student Name:

Date of Birth:

Program Selection

Intended Start Date:

Full-time    Part-time    Online/Remote    Special Program / Dual Enrollment

Academic History

Parent / Guardian Information (If Applicant is a Minor)

Is the applicant a minor?

Medical & Emergency

Does the applicant have an Individualized Education Program (IEP) or 504 Plan? Yes No

Authorization & Releases

Records Release: The applicant (or parent/guardian if applicant is a minor) authorizes release of educational records, transcripts, and disciplinary records from prior schools to the admissions office for the purpose of evaluation. This authorization remains in effect until the admissions decision is final.

Consent for Emergency Treatment: If immediate medical treatment is required and the parent/guardian cannot be reached, the undersigned authorizes designated school personnel to secure emergency medical care and to consent to medical treatment deemed necessary for the health and safety of the applicant.

Media Release: The applicant (or parent/guardian) grants permission for the use of photographs, video and/or student work for legitimate educational or promotional purposes, unless the applicant indicates non-consent by checking the box below. Do not use media

Data Privacy Acknowledgment: The institution will collect and maintain application information in accordance with institutional policy. By signing below, the applicant certifies that confidential information provided is accurate and consents to the institution's internal use of such information for admissions, enrollment, and financial administration.

Financial & Attendance Acknowledgments

Tuition & Fees: Enrollment may require payment of tuition deposits, fees, or proof of financial arrangements. Applicants acknowledge responsibility for payment in accordance with institutional billing policies and possible forfeiture of enrollment for non-payment. The applicant (or parent/guardian) agrees to provide accurate financial information and accept institutional billing terms where applicable.

Attendance & Conduct: Admission is contingent upon adherence to the institution's codes of conduct and attendance policies. The institution reserves the right to deny or rescind admission for violation of policies or for willful omission of pertinent application information.

Supplemental Materials

Certification

By signing below, I certify under penalty of perjury that the foregoing information is complete and correct. I authorize the institution to verify any information provided and to obtain records necessary for admissions evaluation. I understand that knowingly providing false information may result in denial of admission or dismissal if discovered after enrollment.

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