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
E-mail
Home Phone
Cell Phone
Address

Additional Information

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