Texas Success Academy- Application for Admission

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: 22 Credit Minimum Pathway 24 Credit Foundation Pathway

Learners under the age of 18 will not qualify for the Minimum Pathway, unless there are extenuating circumstances, that you will have discussed with Admissions prior to selecting this option. The Policy: "Learners who qualify for the Minimum Pathway must have been in 9th grade on or before August 1, 2020".
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
Student's Date of Birth Student's 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
Mailing/Billing Address Mailing/Billing 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.

Texas Success Academy- Application for Admission

Page 1 of 5 - Learner Information

Learner Information