Student Application - School Year 2017-2018

Applicant Information
Name *
Name
Are you new to the program? *
Date of Birth *
Date of Birth
Current Address *
Current Address
I Qualify For Free or Reduced Lunch *
Parent/Legal Guardian Information
Current Address *
Current Address
Phone *
Phone
Employed
Emergency Contact Information
Name
Name
Address
Address
Phone *
Phone
Parent/Legal Guardian Release
By your signature you grant permission for your child to attend all student visits (TBD) for the school year 2017-2018. By your signature you also permit The Tazel Institute (Leon Tazel III) to access your child's grades for the purpose of tracking academic progress. By your signature, you also permit photos to be taken of your child during student visits, and celebratory activities. These photos can be used for marketing material of the High School and/or The Tazel Institute LLC. By signing, you are also attesting that the information you have provided is true.
Student Behavior/Program Acceptance
Student behavior in and out of the classroom must be acceptable by school standards. Should a student deviate from these standards, he may lose privileges of the program for a period of time or for the remainder of the school year. Acceptable behavior includes 1. Must achieve and maintain at least a 2.0 GPA 2. Must complete all class homework or assignments 3. Must complete program assignments by deadline given