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LHHS Academy & Program Application
Student Information
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Student's email address
*
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Current Grade
*
Choose
8
9
10
11
12
Current School
*
Your answer
Student's Grade Point Average (GPA)
*
(9.99)
Your answer
Is student receiving any of the following accommodations:
*
Yes
No
IEP
504 Plan
Yes
No
IEP
504 Plan
Any suspensions and/or expulsions?
*
Yes
No
If you answered a 'YES' to the previous question regarding suspension and/or expulsion, please explain:
Your answer
High School of Residence
*
If your high school of residence is not La Habra High School, you must obtain a permit for enrollment
Buena Park HS
Fullerton Union HS
La Habra HS
Sonora HS
Sunny Hills HS
Troy HS
Out of District
Out of District - Please provide district name
Your answer
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