CALCAMPUS HIGH SCHOOL www.calcampus.com/CalcHigh/ PART 1: ADMISSION APPLICATION For students who have completed at least two years of high school in prior studies. (Not for students who have already earned their high school diploma.) When we receive Part 1 with your prior academic record, we will reply to discuss your eligibility for admission and subsequent course plan, to be followed with Part 2 of the Admission Application, which provides the enrollment agreement, payment method, and requests other student information to complete your file. **Download to your computer and fill this out offline** ============================================================= STUDENT INFORMATION Student's Name ______________________________________ Date_________ Mailing Address _____________________________________________________ _____________________________________________________________________ Telephone ____________________________ Date of Birth ____________ Internet E-mail _____________________________________________________ If under 18, name of parent/guardian who will oversee student ____________________________________________ Signature of parent/guardian_______________________________________ ===================================================================== YOUR PRIOR TRANSCRIPT Please submit a transcript of your prior and current high school courses taken. A copy is acceptable for the application, to be followed by an official transcript at time of admission. ===================================================================== BACKGROUND Please provide some background information concerning why the student wishes to enroll in this program. Thank you. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Number of years attended prior high school/homeschool_______________________ ======================================================================= INSTRUCTIONS You may submit this form by surface mail or fax. 1. SURFACE MAIL: print this Form, fill it in, and mail with your transcript -or- 2. FAX: print this form, fill it in, and fax it with your transcript Margaret G. Morabito, Director
 CALCampus will contact you through e-mail with confirmation of receipt of your request. Thank you.