Citizens' High School | Create New Acccount

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(800) 736-4723

Student Information

Student First Name *

Student Last Name *

Student Email Address (Must be unique per student)*

Verify Student Email Address *

Student Phone Number *

Signature *

Academic Information

Have you earned any High School Credits *

Affiliation Pathway*

If you are taking a course with prerequisites, the credits earned will not be provided until prerequisites are completed. I Agree.

Coach Information

All military students are required to provide Coach information. By Providing Coach Information you authorize the release of information to your coach or recruiter. *****PLEASE NOTE - The following documents are required to be submited in the Documents Section Below: Student transcripts (if not already submitted) and a government-issued ID.*****

First Name *

Last Name *

Email *

Phone Number *

Documents

Please upload your documents*:

Please use .doc, .docx, .gif, .jpg, .png, .pdf, .tif or .tiff format. File size may not exceed 4MB.

Your file(s) will not be attached to your registration until you:

1. Browse to select file

2. Click on 'Upload' button

3. Save

Documents:

Login Information

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