Enrollment Page

ATTENTION APPLICANTS: We have been having issues receiving applications online. If you do not hear from us within 2 business days, please call us to check on your application. If you would prefer to fill out a physical copy of the application, please download and print the application by clicking here and turn it in to the front office. Thank you!

Today's Date: *
Enrollment For: *
Program: *

Student Information (Birth Certificate required with application)

Upload Copy of Birth Certificate: *
Student Name: *
Date of Birth: *
 /  / 
Student's Address: *
Age: *
Gender: *
Home Phone: *
Student Cell Phone: *
Place of Birth: *
With whom does the student live?: *
Relationship to student: *
Last High School Attended: *
Middle School Attended: *
Reason you left previous school: *
If other, please explain:

Parent/Guardian Information

Mother's Name: *
Mother's Address: *
Mother's Home Phone: *
Mother's Cell Phone: *
Mother's Work Phone: *
Mother's E-mail: *
Mother's Marital Status: *
Father's Name: *
Father's Address: *
Father's Home Phone: *
Father's Cell Phone: *
Father's Work Phone: *
Father's E-mail: *
Father's Marital Status: *

Emergency Contact Information (grants permission to sign student out)

Name: *
Relation to student: *
Phone: *
Name of 2nd contact: *
Relation of 2nd contact: *
Phone of 2nd contact: *

Home Language and Race Ethnicity Survey

Is this student or are you Hispanic/Latino?: *
Is the primary language used in the home a language other than English?: *
If yes, what is the language?:
What is student's race?: *

Other Information

How did you hear about Bay-Arenac Community High School?: *
How will you get to school?: *
If driving, what is the color and make of the vehicle?:
Have you attended the Bay Arenac Career Center or were you awarded a spot from your previous school?: *
If yes, program name:
Session Attended:

Special Education Information

Did student receive any special education services at a previous school?: *
If yes, indicate type of services student received and request transfer forms:
If yes, please upload a copy of the most recent IEP with this application:

Mental/Health/ADA Information

504 Plan? (choose one) *
**If yes, please upload a copy of the most recent 504 with this application.
Does the student have any health issues/concerns we should know about? Please explain: *
Will any medication need to be taken during school hours? (If yes, please request Permission Form for Medication from the office.) : *
Please list medications the student will need to take: *
Please provide us with any additional information we may find useful (additional mailing addresses, special circumstances, unique situations, etc) in educating your student.: *
Please check any and all statements that apply the student.: *
If so, please explain:
Parent / Guardian Signature - Required if student is under 18 (By entering your name here, you are virtually signing this document.): *
Student Signature (By entering your name here, you are virtually signing your name): *
Word Verification: