Orion High School Admissions Application - Minimum Pathway

Page 1 of 5 - Learner Information

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Learner Information

The information below will be used to create the learner's official record at Orion High School. Please provide the information as accurately as possible.
I am applying for:

I am applying for: Orion High School - 22 Credit Pathway*

Select 1 only.
The minimum pathway must be approved by Dr. Gallegos. Do not proceed with this application until you have called and counseled with Dr. Gallegos at 432-219-6166, extension 101 (during regular business hours) Please check to verify that you have had your meeting. If you haven't had such meeting, you may resume this application at a later time.

The minimum pathway must be approved by Dr. Gallegos. Do not proceed with this application until you have called and counseled with Dr. Gallegos at 432-219-6166, extension 101 (during regular business hours) Please check to verify that you have had your meeting. If you haven't had such meeting, you may resume this application at a later time. I have had my phone meeting with Dr. Gallegos I have not had my meeting
Learner's Name Learner's Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Place of Birth
Last Four Digits of SS#, if in USA
Must be 4 digits. Currently Entered: 0 digits.
Gender
Race
Ethnicity
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number/International Phone Number
Provide an Additional Phone Number
Email (This is where your confirmation email for admissions will be sent, if you are the parent, please place your email address here)

Confirm Email Address
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

Orion High School Admissions Application - Minimum Pathway

Page 1 of 5 - Learner Information

Learner Information