Online Application Form
Wednesday, August 27, 2014
Horizon Science Academy Cleveland High School
6000 South Marginal Rd Cleveland, OH 44103
Red indicates required fields.
ABOUT STUDENT
How did you hear us:
(Please tell us how you heard about our school)
Applying for:
Grade:
First name:
Middle: Last:
Birth date:
Race: Gender:
Home phone:
-- (Enter cell phone # if home phone is not available)
Address:
City:
State/Province:
Zip code:
ABOUT PARENT/GUARDIAN
Relationship to student:
First name:
Middle: Last:
Cell phone:
-- Work phone: ()-- Extension:
Email:
Address:
City:
State/Province:
Zip code:
ABOUT CURRENT SCHOOL
Under expulsion:
(Is student currently under expulsion?)
Name:
Address:
Phone: ()-- Fax: ()--
or cancel