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 Cottage School Principal, 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.
Student Information
Student*

First NameLast Name
Student Date of Birth*

MonthDayYear
Grade Level*
Rising Grade Level
Parent Information
Mother*

First NameLast Name
Father

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent E-mail*
Parent Phone*

Area CodePhone Number
Student Grade Level

Rising 9th GradeRising 10th 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?*

YesNo
If Yes, please describe the situation.
Application Fee
I was referred by

First NameLast 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