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?