Welcome to Zenith Academy East

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Your Career Success Begins Here

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Student Name
Address

Emergency Contact

Name
Address

Universities that are recipients of federal dollars are required by the Federal government to solicit certain demographic information to meet federal reporting requirements. Applications are requested to provide the following information voluntarily. This information will not be utilized in a discriminatory manner.

This application is for enrollment as:

If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any risk of disciplinary action or revocation of your offer of admission.

Previous School Information

School Address

Please provide the names of people in your immediate family who have attended the University.

Parent/Guardian Information

Parent 1 Name
Parent 2 Name
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Please upload a picture of the parent's photo ID
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Please upload an image of a proof of address (lease, utility bill etc)
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Please upload an image of the student's social security card
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Please upload an image of the student's immunization records
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Please upload an image of the student's transcript and/or report card

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the University’s regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies of the Ohio Department of Education and the rules and regulations of the school. Should any information change prior to my entry into the University, I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.
Do you understand and agree to the terms listed above?