Prestans Inquiry

Thank you for your interest in Prestans Online Academy. Please fill out this form and we will be in touch to discuss the next steps in the admission process.

Candidate Information

First Name

Middle Name

Last Name

Suffix

Preferred Name

Gender

Male Female Non-Binary Self-Identify

Preferred Pronouns

Date of Birth

Candidate's Email

Please leave field BLANK if only submitting an email for the parent/guardian. All email addresses entered on this form must be unique.

Candidate's Mobile Phone

Current School

If your school does not appear on the list, please select "My School is not listed" to enter your school information.

Current School

City

State

Country

Current Grade

Grade Applying For

Year Applying For

Enrollment Type

Full-Time Enrollment - Prestans enrolls full-time students in grades 6-12. A full time student is not enrolled at any other school and will be with us for a full academic year, receiving transcript for sucessfully completed courses.

Credit Continuation - Continuation programs allow students to complete credit-bearing work. Students take a trimester, semester, or full-year online program with Prestans, then return to their sending school. Students receive a course credit and transcript at the successful conclusion of their Prestans academic program.

Academic Mentorship - Academic Mentorship offers subject-based personalized tutoring and small group enrichment classes. These programs are non-credit bearing and non-transcript producing.

Summer Programs - Prestans offers enrichment and for-credit course throughout the summer. These programs are designed for students needing additional support or opportunities for acceleration.

Full-time Enrollment Credit Continuation Academic Mentorship Summer Programs

Citizenship

Country

Primary?

YES NO

Parent/Guardian 1 Information

Title

First Name

Middle Name

Last Name

Suffix

Preferred Name

Please indicate each of the following relationships to the Candidate(s):

This person is Candidate 1's

Mobile Phone

Address Information

The address entered here is assumed to be the candidate's address as well

Address 1

Address 2

City

State

Postal Code

Country

Add a second Parent/Guardian?

No Yes

Parent/Guardian 2 Information

Please indicate each of the following relationships to the Candidate(s):

If you are entering a second parent please be sure to include the relationship to the student.

This person is Candidate 1's

Title

First Name

Middle Name

Last Name

Suffix

Preferred Name

All email addresses entered on this form must be unique. If you intend to create an account for this parent/guardian you must enter an email address.

Mobile Phone

Does this Parent/Guardian live at the same address entered above?

Yes No

Parent/Guardian 2 Address

Address 1

Address 2

City

State

Postal Code

Country

How did you hear about us?

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