Editing previous response:

Please fix the highlighted areas below before submitting.

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

Birthdate*

Answer required for "Birthdate"

Social Security Number*

If you are not comfortable with sharing this information - 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"

Other Schools Attended:

School Name*

Answer required for "School Name"

Location of School*

Answer required for "Location of School"

Date attended*

First Year- Last Year

Answer required for "Date attended"

Confirmation Email

Answer required for "Confirmation Email"