Public School Academy Student Inquiry Form

Student Information

First Name*

Middle Name

Last Name*

Email Address*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Cell Phone

I would like to receive text messages from SVSU

Home Phone

Preferred Language

Public School Academy Information

High School Graduation Year

School Attended:

What is the Name of the High School you plan to attend?

Parent Information

Parent or Guardian First Name*

Parent or Guardian Last Name*

Parent or Guardian Email*

Parent or Guardian Phone*