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Student Information

Full Name *

Preferred Name

Date of Birth *

Gender *

Race/Ethnicity *

Country of Citizenship *

Current School *

Incoming Year *

Incoming Grade *

Residential Address *

City *

State *

Zip Code *

Cell Phone *

Email *

Medical Information

Medical Conditions

Medication Allergies

Food Allergies

Other Allergies

Medical Needs School Should Be Aware Of

Primary Parent / Guardian

First Name *

Last Name *

Relationship *

Occupation *

Same as student address

Address *

City *

State *

Zip *

Cell Phone *

Email Address *

Secondary Parent / Guardian

First Name

Last Name

Relationship

Occupation

Same as student address

Address

City

State

Zip

Cell Phone

Email Address

Required Documents

After your application is reviewed, Alta Career Academy will request the documents needed to complete the admissions process. These may include the student’s most recent report card, unofficial transcript for high school students, standardized test scores if available, and any IEP, 504 Plan, or psychoeducational evaluation if applicable.

I understand that additional documents may be requested after submission.

Additional Information

Application Remarks

Agreement

I understand that submission of this application does not guarantee admission to Alta Career Academy. I understand that admission decisions are based on a review of the student’s academic records, school visit, and overall fit with the school’s learning environment.

What Happens Next

Applications are reviewed by our admissions committee to determine whether Alta Career Academy’s personalized microschool environment is a strong fit for the student.

We appreciate your interest in Alta Career Academy and look forward to partnering with your family.

Application for Admission