Student Application Request Form

Please complete the form below. The office will then mail an application to the address provided.
Thank you for your interest in the S.T.A.R. Academies.





Student Name

Your Email Address (You must provide a valid email address)

Gender: Male Female

GRADE Name of School

Are you a new or returning S.T.A.R. student?

Name of Parent/Guardian(s):

Your Street Address

City State Zip

Local Phone

How did you find out about this program? Please check

Friends/Family/School Internet Other

2. Why are you interested in learning more about the S.T.A.R. Academies?