Whitmore School Diploma Program Enrollment Form
Please print out, complete this form,
and mail with a tuition check of $1185.00 (made payable to Compuhigh)
to:
DO NOT SEND BY CERTIFIED MAIL and make sure you check "WAIVER SIGNATURE"
if sending by Priority Mail or Express mail.
CompuHigh
Marianne O'Doherty, Registrar
515 Wilson Avenue
Morgantown, WV 26501
Name of Student ________________________________________________________ Street
Address______________________________________________________ (APO Addresses please state the country) ______________________________ Home
Phone__________________________________________________________ Parent's E-mail address __________________________________________________________ Date of
Birth________________________Age_____________Sex_________Grade___________ If your school has referred you
please give school name and school counselor name ______________________________________
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___ Paid in Full by Check Check
number
___________ ___ Paid in Full by Money Order # ___________________ Amount_________________ PAYMENT
PLAN
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1. -- Enrollment Policy-- 2.
-- Withdraw and Refund Policy -- 3.
-- Returned Check Policy -- 5. -- Release of Information Policy-- 6. STUDENT SIGNATURE REQUIRED: I have also read and understand the above policies. Student's Signature ___________________________________________________________
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CompuHigh/ Whitmore School does not discriminate based on race, class, national origin, religion, gender, or culture.