Utah Online School | Create New Account

Application Form:

Complete and submit the following application form to apply to our school. If you need help, please contact the office at (435) 986-5199 or visit our FAQ page: https://utahonline.org/enroll/hs/help/.

Student Information

First Name (Must Match Birth Certificate) *

Last Name (Must Match Birth Certificate) *

Middle Name (Must Match Birth Certificate)

Student Preferred Name

Affiliation

Gender (Must Match Birth Certificate) *

Date of Birth *

Grade Level At Time Of Upcoming Semester *

Possible NCAA Athlete *

Address

Street *

City *

State *

Country *

ZIP *

Email *

Phone *

Race *

Mailing Address

Mailing Address Same as Home Address

Street

City

State

Country

ZIP

Primary Parent/Guardian Information (With Whom the Student Resides)

Relationship *

Last Name *

First Name *

Email *

Phone *

Alternate Parent/Guardian Information

Relationship

Last Name

First Name

Phone

PTID

PowerSchool Number (Lunch Number) *

Boundary School Name *