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 *

Student Email *

Possible NCAA Athlete *

Grade Level For 2024-25 School Year *

Address

Street *

City *

State *

Country *

ZIP *

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

Email

Phone

After clicking save, your login information will be sent to the email address you provided. Please check your inbox (and spam folder) as soon as possible to access your account.

Student Information

Address

Mailing Address

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

Alternate Parent/Guardian Information

PTID