STEDY Admission Application

Applicants must complete all admission documentation for STEDY program acceptance.

First Name is required
Last Name is required
Date of Birth is required

Address is required
City is required
State is required
Zip Code is required

Student Phone Number is required
Gender is required
Race is required
Student E-Mail is required
Grade Level is required
Graduation Date is required
(You may obtain this from your counselor)

Please select a high school
Please select a program

Is the Student eligible for special education and related services?

If YES, please provide a copy of the Student's current Individualized Education Plan (IEP) or 504.

Please indicate YES or NO

Please indicate if your student has any of the following health conditions: (check all that apply)

Please tell us how you learned about STEDY
T-Shirt Size is required

Emergency Contact Name is required
Relation is required
Emergency Contact Phone Number is required

Parent Name is required
Parent Email is required
Parent Phone is required

* = required fields

Draw your signature in the box below:

Signature is required

You're missing required information

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Application Successfully Submitted

Thank You For Submitting The STEDY Online Admission Application.

We will contact you soon with more information.

In the meantime please complete the Enrollment Packet to continue the enrollment process.

Click here to download the Enrollment Packet: