Thank You for Submitting your Enrollment Application. You will be receiving a confirmation email from one of our staff shortly.
OnlineHighSchool.org Enrollment Form
Applications for free online classes will be valid through
5/1/2010
and only for students of high school age in grades 9-12.
Only one free course per student is allowed
. Courses must be attempted and completed within 6 weeks. Please complete all fields with the applicable data. Enter NA when "Not Applicable"
Student First Name
Middle Name
Last Name
Address
City
State
ZIP
Home Phone 777 777-7777
Email
Grade:
Gender:
Ethnicity:
Date of Birth
Learning Accommodations: Note IEP 504 etc
Primary Guardian First Name if student is less than 18
Guardian Last Name
Guardian Phone 777 777-7777
Guardian Email
In which course do you desire to enroll?
When would you like your start date to be?
Briefly describe how you would benefit from completion of a free online course with OnlineHighSchool.org
If selected to receive a free online high school course, do you pledge to demonstrate the necessary effort to successfully complete your enrollment? Although courses vary, this commitment ranges from 1.5-2.5 hours a school day for a six week period.
