Student Enrollment Application

How did you hear about our school?*

Parent/Guardian First Name*

Parent/Guardian Last Name*

What is your relationship to the student?*

Mother

Father

Grandmother

Grandfather

Other

Home Address*

City*

State*

Zip Code*

Home Phone

Work Phone

Parent/Guardian Cell Phone

Parent/Guardian Email*

Student's First Name*

Student's Last Name*

Student's Date of Birth*?

Gender*

Male

Female

Non-binary

Prefer not to answer

Student's Home Address (skip if same as parent)

Student's Cell Phone

Student's Email*

Student's Previous High School*

Number of Credits*

Bronx Campus

1239 Lafayette Ave
Bronx, NY 10474
(646) 993-1834

17 Battery Pl
New York, NY 10004
(646) 993-1833

Staff Resources