Student Master Application

STUDENT MASTER APPLICATION

Applicant Information

Student Name:

Date of Birth:    Student ID (if issued):

Parent / Guardian Information (If Applicant Is Minor)

Relationship:    Primary Phone:

Program Selection & Enrollment

Intended Start Date:    Enrollment Status: Full-time Part-time

Academic History

Last Grade Completed:    Cumulative GPA:

I authorize the release of academic records and transcripts from the previous institutions listed above to the admitting institution. I authorize release

Emergency Contact & Medical Information

Relationship:    Phone:

In the event of an emergency, if the school cannot reach the parent/guardian, I authorize school personnel to obtain medical treatment for the student as reasonably necessary. This authorization is limited to immediate and necessary care pending parental notification. Consent to emergency medical treatment

Financial Responsibility & Billing

Estimated Tuition Amount: $

Payment Plan: Annual Monthly Other

By submitting this application the Responsible Party acknowledges financial responsibility for tuition, fees, and any applicable penalties. All fees and payment deadlines are binding once enrollment is confirmed. Failure to satisfy financial obligations may result in withholding of student records and denial of services.

Consents, Releases, and Acknowledgments

Family Educational Rights and Privacy Act (FERPA) — Limited Release: I consent to limited disclosure of educational records to the parties identified in this application as necessary for enrollment and support services.

Photo and Media Release: I grant permission for photographs, video, and audio of the student to be used for institutional educational, promotional, and archival purposes in printed and electronic media, subject to the institution's policies.

Field Trip and Activity Participation: I consent to the student's participation in supervised school-sponsored activities and field trips. I understand that additional notices and consents may be required for certain activities.

Standards and Policies Acknowledgment: I have read and accept the institution's academic, attendance, conduct, and privacy policies as applicable to enrollment. I understand that violations of policies may result in disciplinary action up to and including dismissal.

Certification and Authorization

Certification: I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that falsification or omission of information may result in denial of admission or rescission of enrollment. I authorize the institution to verify any information contained herein and to obtain academic, medical, and financial records as necessary to process this application.

Authorization to Bill: If indicated as Responsible Party, I authorize the institution to bill me for tuition and other charges incurred on behalf of the student and agree to the collection procedures described in institutional policy.

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