OUISN Registration Form

Program Information

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Program

- Select -Writer's CampPrivate School (Grades 3-12)Dual Enrollment ServicesBachelor of Science Business Management, Trade, and WellnessTeacher Education Readiness ProgramAlternative Route to Teacher LicensureSpirituality, Research, and Personal Growth Programming

Student Information

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First Name

Middle Name

Last Name

Birth Date

Grade Level

3456789101112Post Secondary

Gender

Male

Female

Other

Race/Ethnicity

African American/Black

Hispanic/Latino

Asian

White

Other

Contact Information

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Email

Verify Email

Phone/Mobile

Alternative Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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OUISN Registration Form

Parent/Guardian Information

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First Name

Middle Name

Last Name

Birth Date

Relationship

Father

Mother

Guardian

Other

Email

Verify Email

Phone/Mobile

Alternative Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Add Additional Parent/Guardian:

Yes

Parent/Guardian Contact Information (2)

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First Name

Middle Name

Last Name

Birth Date

Relationship

Father

Mother

Guardian

Other

Email

Verify Email

Phone/Mobile

Alternative Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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OUISN Registration Form

Additional Attachments (Transcript, Letter of Interest, etc)

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