2018-19 HLCS Louisville Enrollment Form

2020 - 2021 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 School
4603 Poplar Level Rd
Louisville, KY 40213

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@thelatinschool.org.
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

My Products

Application Fee: $ 25.00

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

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

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2020 - 2021 Cottage School Diploma Program Application

Student Information

Parent Information

Academic History

Application Fee

Transcripts and Report Cards