STEDY Admission Application

Applicants must complete all admission documentation for STEDY program acceptance.

First Name: *

First Name is required

Middle Initial:

Last Name: *

Last Name is required

Date of Birth: *

Date of Birth is required

Physical Address: *

Address is required

City: *

City is required

State: *

State is required

Zip: *

Zip Code is required

Mailing Address: (if different)

City:

State:

Zip:

Student Phone Number: *

Student Phone Number is required

Student Lives With:

Gender: *

Gender is required

Race: *

Race is required

Student Personal E-Mail: *

Student E-Mail is required

Student School E-Mail:

Current Grade Level: *

Grade Level is required

Cohort: *

Cohort is required

High School ID#:

High School Counselor:

Student SAIS Number: (You may obtain this from your counselor)

Home High School: *

Please select a high school

Program: *

Please select a program

* Other (Please Specify):

School name is required

Upload Transcript: *

File must be a pdf

How did you hear about STEDY?:*

Please tell us how you learned about STEDY

T-Shirt Size:*

T-Shirt Size is required

Other (Please Specify):

Parent / Legal Guardian Name: *

Parent Name is required

Parent / Legal Guardian E-Mail: *

Parent Email is required

Home / Mobile Phone:*

Parent Phone is required

Mailing Address: (if different)

City:

State:

Zip:

* = required fields

Parent / Legal Guardian Signature: *

Draw your signature in the box below:

Signature is required

STEDY Admission Application

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Thank You For Submitting The STEDY Online Admission Application.

STEDY Admission Application

You're missing required information

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Thank You For Submitting The STEDY Online Admission Application.

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