Application Creation Screen 
     SECTION I: Student Information
First name*: Last name*:
Interested in: Gender*:
Current grade: Street Address*:
City*: State*:
Zip*: Contact phone 1*:
Email*: Contact phone 2:
Ethnicity*:  Date of Birth *:
Open the calendar popup.
Currently enrolled in: How did you find us:
Previous school: Current school:
English Language Learner: Student has IEP/504:    
GRAD - Florida Independent Students only
SSN*: Florida Student No.*:
* - Indicates a required field. 

     SECTION II: Parent/Guardian Information
First name *: Last name * :
Contact Phone 1: Contact Phone 2:
Email *: Relationship:
First name: Last name:
Contact Phone 1: Contact Phone 2:
Email: Relationship:

   SECTION III: Comments

 
 
     SECTION IV: Courses

Please select the courses you would like this student to be enrolled in.
 
     Payment

EdOptions Online Academy requires a non-refundable Application Fee of $25 to be paid before your application is processed by our admissions team. Please contact us if you have any questions.


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