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Application Form

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 ProgramDiagnostic/Prescriptive Program

    Student Information

    First Name

    Last Name

    Gender

    MaleFemale

    Person Inquiring Information

    Relationship to Student

    MotherFatherGuardianGrandparentOther

    First Name

    Last Name

    E-mail

    Home Phone

    Cell Phone

    Address

    Additional Information

    Student's Current Grade

    Current School

    Current School District

    How did you hear about CLU?