Adult Education Program Application for Admission

Adult Education Program Application for Admission

Thank you for your interest in Level Up Scholars Academy—an Intragrated™ Private School committed to academic excellence, purpose-driven learning, and helping learners reach meaningful milestones.

Our Adult Education Program is designed for individuals seeking to complete their high school diploma or advance their learning in a specific area, within a structured, supportive, and flexible environment.

This application is the first step in helping us get to know you, understand your goals, and determine whether our program is the right fit to support your journey.

Application Expectations
This application should be completed by the applicant.

If you receive support while completing the application, please ensure that all responses reflect your own experiences, goals, and intentions.

Who Should Apply?
Adults who are ready to complete their high school diploma or advance their learning in a structured, supportive, and flexible environment.

Our program is ideal for:
- Individuals who did not finish high school and want to earn their diploma
- Adults returning to education after time away
- Individuals seeking a second chance with clear expectations and support
- Those looking to build a stronger academic foundation for future education, training, or career opportunities
What You’ll Need to Complete This Application:
- Personal contact information
- Educational background and/or work history
- Any available transcripts or prior academic records (if applicable)
- A brief written statement outlining your goals and reasons for applying
- A non-refundable $15 application fee
Additional Notes:
Most applications take approximately 15–20 minutes to complete. You may begin now and save your progress at any time by selecting “Save” at the bottom of the application.

For questions, contact admissions@levelupscholars.org. We look forward to supporting your journey.

What is your preferred start date?

MonthDayYear
Date
Applicant Information
Applicant's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Home / Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Other / Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Email Address
example@example.com
Home / Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Do you currently have regular access to a reliable computer or school-appropriate device and the ability to participate in live video sessions (e.g., Zoom) for coursework (excluding a cell phone)?
Do you currently have access to a physical keyboard (built-in or external) for completing written assignments?
Do you currently have consistent internet access?

Tuition reflects the quality of our instructional model and the intentional support we provide each scholar. Limited need-based scholarships may be available based on verified financial need. Please select one:

By typing my name below, I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that submission of this application does not guarantee admission and that providing false or misleading information may result in denial or withdrawal of the application.
Typed Full Name
Date Signed

MonthDayYear
Date

A non-refundable application fee is required per applicant to submit this application.

Application Fee:

Enter the total number of students that are applying using this application.

$15.00 Quantity

Total

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Adult Education Program Application for Admission

Applicant Information

Application Fee: