CALCAMPUS HIGH SCHOOL 
www.calcampus.com/CalcHigh/

PART 1: ADMISSION APPLICATION

When we receive Part 1 with your prior academic record, we will reply
with your course plan and 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**

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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_______________________________________

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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.

Foreign students may apply.  Reading and writing knowledge of English is required
for this program.  Foreign students will also take an English language diagnostic
test prior to admission to determine eligibility.  Please send an English 
translation of your prior secondary school record.  Thank you.

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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_______________________

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INSTRUCTIONS
You may submit this form by surface mail, fax, or e-mail.

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
-or-
3. E-MAIL to Director: download this form into your word processor, print it, fill it in, and sign.  
You may include a scanned image of your transcript and signature. 

Margaret G. Morabito, Director

    


CALCampus will contact you through e-mail with confirmation of receipt of your request. Thank you.