Apply for Admission to Trailblazer Academy

At the bottom of this application is a printable document to be completed by the guidance counselor. Please print this document and submit this along with your high school transcripts and ACT/SAT scores if available.

For help with this form or to speak with a recruiter, please call 877-762-8669.

Personal Data

Name: *

Enter your first and last name.

Gender: *

Date of Birth: *

Country of Citizenship: *

Course(s): :

*Selecting a course does not register you for a course, it only provides OCU information regarding the number of students projected per scheduled class.

Preferred Format: *

Let us know whether you intend to take courses online, on campus, or at your high school (dual enrollment).

I plan to attend: *

Contact Information

Phone: *

Please enter your primary phone number using 555-555-5555 format.

Alt. Phone:

Optional. Enter alternate phone number in 555-555-5555 format.

Email: *

Contact Preference:

Let us know how you prefer to be contacted.

Mailing Address: *

City: *

State or Province: *

Zip/Postal Code: *

Parent or Guardian Information

Name: *

Enter parent/guardian's first and last name.

Phone:

Please use 555-555-5555 format.

Mailing Address:

City:

State or Province:

Zip/Postal Code:

Additional Information

High School: *

Graduation Year: *

Have you taken PSEO courses before: *

Guidance Counselor:

Guidance Counselor Phone:

Please use 555-555-5555 format.

Attachment	Size
Guidance Form_2012-2013.pdf	154.7 KB

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Apply for Admission to Trailblazer Academy

Trailblazer Academy

Ohio Christian University