Enrollment - Grade Results

Student Enrollment Form

State :

School / District :

Student Information

Name *

Gender *

Date of Birth *

Place of Birth

Race *

Email *

Verify Email *

Phone *

Social Security #

Driver's Licence

Address *

Academic Information

Grade *

Last School

Do you have an IEP
(Individualized Education Plan)?

County / Parish Name

Student ID#

Location / City

Parent or Guardian Information

Name *

Email *

Phone *

Address same as Student

Address *

Parent or Guardian Information 2 / Additional Contact

Name *

Email *

Phone *

Address same as Student

Address *

Required Documents

Documents can be attached on the site and uploaded or emailed to enrollment@graderesults.com or faxed to 866.937.8871, or mailed to Grade Results at 1316 Newport Dr., Carrollton, TX 75006.

× Birth Certificate

× Social Security Card

× Proof of Residence

× Proof of Immunization and Health Screenings

× Prior Academic Records

× IEP/504 Documentation

× Transcript Documentation

× Other Documents for Special Circumstances

Custody order, Gifted documentation, Special Education Documentation: IEP Documentation: Supporting Evaluation Documentation, IEP Exit Documentation, 504 Plan

Select Document

To be filled by Parent/Guardian

I would like to transfer my son/daughter to a customized, individualized, blended learning program aligned with state standards and powered by Grade Results in order to continue his/her education. With proper communication among all parties (School District personnel, Student/Parent, and Graderesults personnel) and based on the student's current and future education needs, the student may be transferred to one of Graderesults' private schools to continue his/her education.

Student Signature

Clear

Parent Signature

Clear

Student Enrollment Form

Student Information

Academic Information

Parent or Guardian Information

Parent or Guardian Information 2 / Additional Contact Add Parent

Required Documents

To be filled by Parent/Guardian

Student Signature

Parent Signature

Parent or Guardian Information 2 / Additional Contact