Name of Student   _______________________________________________________________

Street Address______________________________________________________

 City__________________________________State________ Zip Code_____________ 

(APO Addresses please state the country) ______________________________ 

Home Phone__________________________________________________________

Cell Phone ____________________________________________________________

Student's Email__________________________________________________________________This is required.

Parent's E-mail address __________________________________________________

Date of Birth________________________Age_____________Sex_________Grade___________

Parent or Legal Guardian Name__________________________________________________________________

Name of Previous School(s)____________________________________________________________________

How did you hear about our school?_______________________________________________________________

If referred by someone please tell us if it was a  friend, student, parent, teacher, school counselor ,etc_______________________________________________

Previous official high school transcripts: 

   
   TUITION / PAYMENT
      Enrollments not from the 50 U.S. states must be paid by money order, bank transfer, or by a check from an American Bank. The tuition amount is in U.S. currency.
 

   ___ Paid in Full by Check

Check number ___________  
Date on Check ___________________
Last name on Check______________________________________

 

   ___ Paid in Full by Money Order    ____________________________________

 

    PAYMENT PLAN
     All three checks must be sent with this enrollment form according to our payment plan listed at http://www.compuhigh.com/paymentplan.htm
 

    WHITMORE SCHOOL POLICIES   (All 6 sections must be signed for continuation of enrollment)

1. -- Enrollment  Policy--
Once we have received student's transcript we will advise students of courses they need to complete for the year. Students are responsible for communicating with their Guidance Counselor. Student are responsible for keeping track of lessons completed within a particular course, and submit appropriate documents upon completion. Students can complete no more than 8 credits per year.  Enrollment is yearly, and students who wish to continue with us will need to re-enroll every 12 months. NCAA students must enroll in the PLUS program. Courses that are submitted to NCAA will require a proctored test upon completion.

Signature of Parent and/or Guardian ___________________________________________________________

2. -- Withdraw and Refund Policy --
A student may withdraw from Whitmore School upon written notification to the Registrar. Incomplete coursework is not considered a cancellation of enrollment. The enrollment fee can be refunded if a student withdraws in writing within ten days of enrollment, less a $125.00 administrative fee. No reduction or refund of fees are given in the case of student non-performance or lack of course completion 
Signature of Parent and/or Guardian ___________________________________________________________

 3. -- Returned Check Policy --
There will be a $25.00 fee for each returned check. If a check is returned Compuhigh will only accept money orders as replacement, and the student's password will be removed until this is received.  The money order is to be in the amount of the bounced check plus the $25.00 service fee.  The student's password will be removed until a replacement money order is received for the check amount plus the $25.00 fee. 
Signature of Parent and/or Guardian ___________________________________________________________ 

 4. -- Standard of Conduct Policy --
Whitmore School students will agree to conform to the standards of conduct as posted at Policies http://www.compuhigh.com/policies.html.
Whitmore School reserves the right to expel any student without notice or refund in accordance with the policy posted on the site.
 
Signature of Parent and/or Guardian ___________________________________________________________

 5. -- Release of Information Policy--
Information pertaining to a student will be released only to persons who can provide the student’s password. In certain situations, including divorce, Whitmore School/CompuHigh may be legally required to release the account password to other persons, such as divorced parents.

Signature of Parent and/or Guardian ___________________________________________________________

6. STUDENT SIGNATURE REQUIRED: I have also read and understand the above policies.

Student's  Signature ___________________________________________________________  

Please provide us with additional information such as alternative phone numbers, custodial status, which parent student lives with, etc.