Ascent Easy Enroll Pre-Approval Application Step 1 of 4

Our online pre-approval application is broken into four sections:
  1. Student's Biographical Information
  2. Parent's Biographical Information
  3. Parent's Assessment of Child
  4. Student Medical History

Please take the time to fill out each section, as they are all required for us to make an informed decision concerning your child and how Ascent can help.


Please call our Admission Counselors at 1-800-974-1999 for more information.
 



Relationship to Child:
 

Please indicate how you would prefer we contact you:                               Contact Information
 

Time available for us to contact you:
 

How did you hear about Ascent?		  
       Other
 

What keyword did you search for to find our website on the internet?  


Student's Information:

 

Name:
 

Gender:
Male   Female  
 

Date Of Birth :
Age:
 
Birth Place:
 

Address (1):
 
Address (2):
 
City/State/Zip: ,   
 

Was Student Adopted?  Yes  No         
 

Eye Color:       Hair Color:  
Height:             Weight:       
 
Identifying Marks:
 
Shoe Size:  
Pant Size:      Length             Waist 
Shirt Size:  


This concludes the "Student Biographical" section of our pre-approval application

The next section focuses on the parent's Biographical so that we are able to efficiently contact you about your concern.

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