Harvard High School Student Application Form

Harvard High School Student Application

Fill out the form carefully for enrollment
Student Name*

First NameMiddle NameLast Name
Gender
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student E-mail:*
Phone Number:*

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

MonthDayYear
Please select a diploma

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

MonthDayYear
Should be Empty: