Application Form - Alta Career Academy

Online Application Form

Thank you for your interest in Alta Career Academy. Submission of an application allows our admissions team to review your student’s academic background and determine whether our personalized microschool environment is a strong fit.

Prospective Student Information

Student Information

Full Name Preferred Name Date of Birth Gender Race/Ethnicity Country of Citizenship Current School Incoming Year Incoming Grade Address

City

State

Zip Code

Cell Phone Email

Medical Information (Optional)

Medical Conditions Medication Allergies Food Allergies Other Allergies Medical Needs Learning Differences

IEP
504 Plan
Psychoeducational evaluation
None
Prefer to discuss

Primary Parent

First Name

Last Name

Relationship Phone Email Occupation

Secondary Parent

First Name

Last Name

Relationship Phone Email Occupation

Documents Upload

Report Card Transcript Test Scores IEP / 504

Agreement

I understand submission does not guarantee admission
Admission is based on review and fit