Texas Success Academy- Application for Admission

Page 1 of 5 - Learner Information

20%
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: 22 Credit Minimum Pathway 24 Credit Foundation Pathway

Select 1 only.
Before applying, please be sure that you have already met with and/or spoken to an advisor.

Before applying, please be sure that you have already met with and/or spoken to an advisor. I have had my phone meeting with Advising. I have not had my meeting with Advising
Student's Name Student's Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Country of Birth
Last Four Digits of SS#, if in USA (If you are international, please put 1111 there)
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):

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.