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Invictus High School 22+ Program Application

To apply to our 22+ program, please complete the form below. Required fields marked with an asterisk *

Your application will be emailed to an enrollment specialist at Invictus High School. Upon receipt of your application, you may receive an email or phone call to request additional documentation.

Documents required to complete your application are:

Last School Transcript
Social Security Card
Proof of Residency
Driver's Licence or State-Issued Photo ID

Student Information

Full Name (First, Middle, Last*

Answer Required

Date of Birth*

Answer Required

Social Security Number (Last 4 digits)*

Answer Required

Student Contact Information

Email Address*

Answer Required

Primary Contact Telephone*

Number Required

Alternate Contact Telephone

Number Required

Current Mailing Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Previous Education

Have you completed some high school (at any point in time)?*

Answer Required

Yes

If yes, what year did you enter 9th grade?

Answer Required

If Yes, When was your last date of high school attendance (estimate month/day)?

Answer Required

Have you ever received special education services?*

Answer Required

Yes

Previous Schools Attended (Please list school name, years attended)*

Answer Required