Student Application
About Cortez Hill Mission/Vision Principal's Letter ESLR's Active Calendar Bell Schedule Staff Directions Donate
Student Info Semester Events
Board of Directors Course Catalog
New Student Registration Steps for Enrollment
CHAPA Parent Handbook
Student Application Form
*First Name:
Middle Name:
*Legal Last Name:
*Gender:
*Current Grade Level:
*Street Address 1:
Street Address 2:
*City, State Zip:
*Home Phone No:
Cell Phone No:
*Email Address:
 
*Parent/Guardian Name:
*Parent/Guardian Place of Work:
*Parent/Guardian Work Phone No:
California law requires information regarding court jurisdiction over juveniles to be provided to schools. Details and conditions of probation will be kept confidential. Please initial:
* Required field

Contact Webmaster at: Eyedrop Studios
©2008 Cortez Hill Academy. All Rights Reserved.