Editing previous response:

Please fix the highlighted areas below before submitting.

Texas Early College High School Student Application

PS Logo

Student Information

School Year Applying For:*

Answer Required

2021-22

First Name:*

Answer Required

Middle Name*

Answer Required

Last Name*

Answer Required

Date of Birth:*

Answer Required

Gender:*

Answer Required

Male

Female

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Student Family Information

First Name:*

Answer Required

Last Name:*

Answer Required

Relationship to Student:*

Answer Required

Father

Mother

Grandparent

Other:

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Email Address:*

Answer Required

Cell Phone:*

Number Required

Home Phone:*

Number Required

Work Number:*

Number Required

CERTIFICATION (Required): By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.*

Answer Required

I Agree

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required