Harvard High School Student Application Form

Harvard High School Student Application

Fill out the form carefully for enrollment
Student Name *

First Name Middle Name Last Name
Gender

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Student E-mail: *
Phone Number: *

Area Code Phone Number
SSN Last Four digits Only
Highest Grade Completed:
Birth Date

Month Day Year
Please select a diploma

Harvard High School Tuition- $699.00
Electronic Signature
Date of Signature

Month Day Year
Should be Empty: