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Who We Are
History & Growth
Parent Promise
Our Founder
Our Partners
Gifting & Underwriting
News & Events
News
Event Gallery
Event Calendar
Host An Event
What We Do
Program Overview
Join
Become A Partner
The Tazel Institute
STUDENT APPLICATION
Applicant Information
Name
*
First Name
Last Name
Are you new to the program?
*
Yes
No
Date of Birth
*
MM
DD
YYYY
Name of High School , College or Trade School
*
Race
Current Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I Qualify For Free or Reduced Lunch
*
Yes
No
NA
Current GPA
*
Grade
*
Freshman
Sophomore
Junior
Senior
Current Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Employed
Yes
No
Emergency Contact Information
Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Relationship
*
Parent/Legal Guardian Release
By your signature you grant permission for your child to attend all student visits (To Be Determined) for the current school year. By your signature you give permission to The Tazel Institute (Leon Tazel III) to have access to your child’s GPA 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. Parent/Legal Guardian Signature:_______________________________ Date:____________
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 Student Signature:_______________________________ Parent/Legal Guardian Signature:_____________________________ Date:_____________
Student Signature
*
Parent/Legal Guardian Signature
*
Date
*
Thank you for your application.
Student Application - School Year _______, i.e2021-22
