Enroll "NEW" Students 2023-24
Account Request
This form is the first step to enrolling your new student online. Complete it to request an account that you will use to log in to a secure system.
Complete required fields to request an account to enroll your students.
Enter the name of the legal parent/guardian of the student you want to enroll
Guardian Legal First Name:
Guardian Legal Last Name:
Guardian Legal Middle Name:
Guardian Legal Name Prefix:
Dr
Esquire
MISS
Mr
Mrs
Ms
Reverend
Guardian Legal Name Suffix:
DR
I
II
III
IV
Jr
RN
SR
Sr.
V
Guardian contact information
I don't have an email
Guardian Email Address
:
Re-type Email Address
:
Guardian Primary Phone Number:
Address:
House #:
Direction:
Street Name:
Apartment:
P.O. Box:
Address 2:
City:
State:
AA - ARMED FORCES AMERICAS
AE - ARMED FORCES AFRICA / CANADA / EUROPE / MIDDLE EAST
AK - ALASKA
AL - ALABAMA
AP - ARMED FORCES PACIFIC
AR - ARKANSAS
AS - AMERICAN SAMOA
AZ - ARIZONA
CA - CALIFORNIA
CO - COLORADO
CT - CONNECTICUT
DC - DISTRICT OF COLUMBIA
DE - DELAWARE
FL - FLORIDA
FM - FEDERATED STATES OF MICRONESIA
GA - GEORGIA
GU - GUAM
HI - HAWAII
IA - IOWA
ID - IDAHO
IL - ILLINOIS
IN - INDIANA
KS - KANSAS
KY - KENTUCKY
LA - LOUISIANA
MA - MASSACHUSETTS
MD - MARYLAND
ME - MAINE
MH - MARSHALL ISLANDS
MI - MICHIGAN
MN - MINNESOTA
MO - MISSOURI
MP - NORTHERN MARIANA ISLANDS
MS - MISSISSIPPI
MT - MONTANA
NC - NORTH CAROLINA
ND - NORTH DAKOTA
NE - NEBRASKA
NH - NEW HAMPSHIRE
NJ - NEW JERSEY
NM - NEW MEXICO
NV - NEVADA
NY - NEW YORK
OH - OHIO
OK - OKLAHOMA
OR - OREGON
Other
PA - PENNSYLVANIA
PR - PUERTO RICO
PW - PALAU
RI - RHODE ISLAND
SC - SOUTH CAROLINA
SD - SOUTH DAKOTA
TN - TENNESSEE
TX - TEXAS
UT - UTAH
VA - VIRGINIA
VI - VIRGIN ISLANDS
VT - VERMONT
WA - WASHINGTON
WI - WISCONSIN
WV - WEST VIRGINIA
WY - WYOMING
XX - Not Applicable
Zip Code:
Asterisk (*) denotes a required field
Click here to submit Account Request