Application for Admission

Please complete the form below. Required fields marked with an asterisk *

Return the completed application along with a nonrefundable $105.00 application fee to the Admissions Office.

Today's Date*

Answer required for "Today's Date"

Contact Information

First Name*

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Email 1*

Answer required for "Email 1"

Email 2

Answer required for "Email 2"

Mobile Phone*

Number Required

Home Phone

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Gender *

Answer required for "Gender "

Male

Female

Ethnicity

Answer required for "Ethnicity"

African American

Asian

Caucasian

Filipino

Hispanic

Native American

Other:

Birthplace *

City & State

Answer required for "Birthplace "

Birthdate*

Answer required for "Birthdate"

Social Security Number*

If you are not comfortable sharing this information here - please input '0'. You will receive a call from Mrs. Tanaka to provide this information.

Answer required for "Social Security Number"

Grade Entering*

Answer required for "Grade Entering"

Desired Start Date*

Answer required for "Desired Start Date"

Other Schools Attended:

School Name *

Answer required for "School Name "

Location of School*

Answer required for "Location of School"

Date Attended *

Year-Year

Answer required for "Date Attended "

GPA *

Answer required for "GPA "

Class Rank*

Answer required for "Class Rank"

Application for Admission Fee*

Price: $105.00

Only 481 left in stock

Please fix the highlighted areas below before submitting.

Application for Admission