Enrollment

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To get started, please complete the form below.

Step 1: Application

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Student Information

Student Name*

First Middle Initial Last

Preferred Name

Last Grade Completed*

Email*

Phone*

Which state do you live in?*

What is your preferred language?*

Is the student age 18 or older?*

Yes

Date of Birth*

Parent/Legal Guardian Information

Parent/Legal Guardian Name

First Last

Parent/Guardian Email

Parent/Guardian Phone

Best Method of Contact

Phone

Relationship to Student

Communication Consent

Would you like to opt in to receive text messages from Grad Solutions?*

Yes, I want to receive SMS/Text messages from Grad Solutions

No, I do not wish to receive SMS communication from Grad Solutions

By checking this box you are agreeing to receive SMS/text messages from Grad Solutions. Standard message and data rates apply. Message frequency varies. Reply STOP to opt out. Reply HELP for assistance. View our Privacy Policy and Terms and Conditions at https://iwantmydiploma.com/privacy

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