Application Form

Completing this form begins our application process. Submitting this information does not automatically guarantee admission.

Applying to:
Lower School or Middle SchoolUpper SchoolDiagnostic/PrescriptiveSummer School Academic ProgramLet's Go CampPart-Time Educational Program

If applying for a Part-time Educational Program, which one:
Relationship-Based Activity Program (RAP)Blended DayTutoringAP and Credit Recovery CoursesStudy Table

Student Information

First Name
Last Name
Gender MaleFemale

Person Inquiring Information

Relationship to Student MotherFatherGuardianGrandparentOther
First Name
Last Name
Home Phone
Cell Phone

Additional Information

Student's Current Grade
Current School
Current School District
How did you hear about CLU?