101 W. 29th Street Anderson, IN 46016 P: (765) 649-8472

Anderson Preparatory

Academy

Enrollment

Enrollment

Application For Enrollment

Are you currently enrolled at APA?

Enrolling for School Year:

Grade Level for the 2021-2022 school year

Student's Last Name:

Student's First Name:

Student's Middle Initial:

Student's Birthday (mm/dd/yyyy):

Home Address:

City:

State:

Zip Code:

Are siblings currently enrolled at APA?

Parent/Guardian's Name:

Phone Number:

Which program is your student wanting to enroll?

How would you describe your access to Internet?

If you are enrolling in APA's Virtual Academy will you be using your own computer or APA's computer? (Only complete this question if you are enrolling in APA's Virtual Academy)

The Anderson Preparatory Academy is open to all applications who are residents of Indiana without regard to race, religion, age, sex, national origin, sexual orientation or identification, or disability. In making positive affirmation of this policy the Academy is guided by both the letter and the spirit of Title VI of the Civil Rights Act, Title IX of the Higher Education Act of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990.

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