Welcome to the Application Form

Application Form

Please complete and submit the application below to be considered for enrollment in our program.

Be sure to review all information for accuracy before submitting. Incomplete or incorrect applications may delay the review process.

If you need assistance at any point, our team is here to help.

📞 Phone: (859) 214-7122
📧 Email: [email protected]

Student Information

Address

Primary Parent/Guardian Information (With Whom the Student Resides)

Alternate Parent/Guardian Information

Additional Information