Credit By Examination Program
Form

If the student is over the age of 18 years of age, we will need to speak to the student to provide the necessary information. The student is considered an adult, and is required to enroll themselves in the program. If the student has a disability we will speak to a legal representative, parent, or guardian.

Name of Student:(Required)

Current Address:(Required)

Age:(Required)

Date Student should have graduated:

Number of Credits achieved in a public school or accredited private school:(Required)

Is your student considered ARD or Modified:

Is your student considered ESOL (Program is offered in Spanish):

Do you have a copy of the student's transcript: (If yes please attach, If no this information will be necessary to provide proper enrollment information, you must contact the last School attended for these records)

Phone Number:(Required)

Email Address:(Required)

We will contact you within 3 to 5 business days to discuss enrollment or the program your student qualifies for.

APPOINTMENT CAN BE SCHEDULED FOR ENROLLMENT AT TIME OF CONSULTATION

File

Max. file size: 100 MB.

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Credit By Examination ProgramForm

Credit By Examination Program
Form