IHSCA SCHOOL APPLICATION

Please complete the form below. Required fields marked with an asterisk * Our school recruiter will contact you as soon as possible to speak with you for next steps in the enrollment process. We thank you for your interest in Instituto Health Sciences Career Academy High School!

Student First Name*

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Student Last Name*

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Current School*

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Current Grade Level*

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12th

11th

10th

9th

8th

7th and below

Contact Information

Parent Name*

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Parent Email*

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Parent Phone Number*

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How Did You Hear About Us?*

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Family/Friend

Current Student

Facebook

Website

IHSCA Event

Other

If you were referred by an IHSCA student please put their name down below!

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Is There Any Additional Information You Would Like To Share?

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Please fix the highlighted areas below before submitting.

IHSCA SCHOOL APPLICATION