2020-21 HLCS Louisville Diploma Application

Cottage School Diploma Program Application

Highlands Latin Cottage School - Louisville
A $25 fee is required in order to finalize your application. Please use the payment option at the bottom of this form or mail payment to:

Highlands Latin Cottage School
10901 Shelbyville Rd.
Louisville, KY 40243

Acceptance into the Diploma Program is not automatic and requires review. If you have any questions, please contact the campus director, Mandy Groce, at mgroce@hls.org.

This application identifies your student as one in pursuit of the disctinction of our CS Diploma. Classes must be applied for individually here.
Student Information
Student *

First Name Last Name
Student Date of Birth *

Month Day Year
Grade Level *
Rising Grade Level
Parent Information
Mother *

First Name Last Name
Father

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent E-mail *
Parent Phone *

Area Code Phone Number
Student Grade Level

Rising 9th Grade Rising 10th Grade Rising 11th Grade Rising 12th Grade
Academic History
Please describe your child's grammar school academic experience (grades 3 - 6). *
Please include schools attended and curriculum used.
Please describe your child's middle school academic experience (grades 7 and 8). *
Please include schools attended and curriculum used.
Please describe any high school work that your child has completed to date. *
Please include schools attended and curriculum used. If records are lengthy, paperwork can be submitted in person at 10901 Shelbyville Rd. Louisville, KY 40243
Has your student ever received detention, been suspended, or disciplined by a school? *

Yes No
If Yes, please describe the situation.
Application Fee
I was referred by

First Name Last Name
Transcripts and Report Cards

Please upload any report cards or transcripts for your child from institutions other than HLS. Transcripts are only required for high school courses and can be produced by the parent if taken at home.
Grade Reports

Browse Files

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My Products

Application Fee: $ 25.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Cottage School Diploma Program Application

Student Information

Parent Information

Academic History

Application Fee

Transcripts and Report Cards