Course Enrolment Request – Rapid Grad Academy

Start Your Diploma Journey Today

Rapid Grad Academy offers flexible programs designed to help students complete their high school diploma quickly and efficiently. Fill out the enrollment form below to select your program, submit your information, and begin the admissions process with our team.

Student Information

First Name *

Middle Name

Last Name *

Date of Birth *

Parent/Guardian section will appear if student is under 18.

Current Age *

Phone Number *

Email Address *

Address

Street Address *

City *

State *

Zip Code *

Parent / Guardian (Required if student is under 18)

Parent/Guardian Full Name

Relationship to Student

Parent/Guardian Phone

Parent/Guardian Email

Program Selection

Select Your Program *

Choose Your Start Date *

Previous School Information

Last School Attended

Last Grade Completed

Approximate Year Left School

Transcript / Records Upload (If available)

Upload Transcripts / Report Cards / School Records

Accepted: PDF/JPG/PNG • Max 10MB

I do not have transcripts

Identity Verification Uploads

Upload #1: Government-issued Photo ID *

Accepted: PDF/JPG/PNG • Max 10MB

Upload #2: Second Form of ID

Birth Certificate OR Social Security Card OR School ID • Max 10MB

Emergency Contact

Emergency Contact Name

Relationship

Phone Number

Student Goals

If “Other”, please explain

Referral Source

How did you hear about Rapid Grad Academy? *

Agreements + Signature

I understand Rapid Grad Academy is a private homeschool-based educational program. I agree to complete all required coursework and provide accurate information for enrollment.

I certify that all information submitted is true and correct.

E-Signature (Full Name) *

Date *

Parent/Guardian Signature (Required if student is under 18)

Parent/Guardian Typed Signature

Date