Applicant Information Form

Submission of the Applicant Information Form is the first step in the application process. This form will generate your EPGY OHS Application Number, which you will need in order to submit the EPGY OHS Application.

All fields for Student and at least one Parent/Guardian are required.

Student Information

Student Name

first name middle name last/family name

Date of Birth

Phone number

Sex Expected Year of
High School graduation

Home Address

City Postal Code

Country State

Student's Country of Citizenship

Student's Email Address

Parent Information

First Parent/Guardian (Required)

Parent/Guardian Name

first name last/family name

Permanent Address

Street Address

City Postal Code

Country State

Mailing Address

Street Address / Box (Same as permanent address)

City Postal Code

Country State

Parent Email Address

Home Phone    Work Phone    Cell Phone

Second Parent/Guardian

Parent/Guardian Name

first name last/family name

Permanent Address

Street Address

City Postal Code

Country State

Mailing Address

Street Address / Box (Same as permanent address)

City Postal Code

Country State

Parent Email Address

Home Phone    Work Phone    Cell Phone

How did you learn about the EPGY Online High School at Stanford University? (Check all that apply.)

Internet search for Accredited Online High Schools

Another web site

    Please specify other web site:

Received information from EPGY

    Direct mailing

    Email

Have taken EPGY classes before

Family or friend has taken EPGY classes

Attended the EPGY Summer Institutes

From an EPGY OHS alum

Parent is Stanford employee

Parent is Stanford alum

School counselor

    Please specify your school:

Scholar Search Associates

An education conference

News media

    Television

    Wall Street Journal

    Journal of Higher Education

    Other publication(please specify):

Other

    Please specify:

Is there any additional information we should know regarding how to contact the student or parent(s)?
(500 character maximum)

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