Enrollment Form Data Submission - Caprice Carthans Academy

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Enrollment Form Data Submission

Enrollment Form

👉 If enrollment is closed, this means students are currently in session and new students cannot enroll at this time.

CAPRICE CARTHANS ACADEMY

Adult High School Diploma Program – Enrollment Form

Please complete all required sections. Submission of this form constitutes a formal request for enrollment and agreement to all academy policies.

STUDENT INFORMATION

Legal First Name *

Legal Last Name *

Preferred Name (if different)

Date of Birth *

Age (Must be 18 or older) *

Phone Number *

Email Address *

Mailing Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Emergency Contact (Recommended)

Name

Phone Number

Relationship

ELIGIBILITY CONFIRMATION

I confirm that I am 18 years of age or older. *

Agree

I understand this is an adult high school diploma program, not a GED program. *

Agree

EDUCATIONAL HISTORY

Highest Grade Completed: *8th9th10th11th12thNone of the above

Other

Last School Attended (Optional)

Name

Location

Year Last Attended

TRANSFER CREDIT REQUEST

(Complete only if requesting credit evaluation)

I am requesting a transfer credit evaluationI am not requesting transfer credit

Transcript Upload (Unofficial Accepted for Review) - Optional

Caprice Carthans Academy accepts unofficial transcripts for preliminary evaluation only.

Upload Unofficial Transcript(s):

No file chosen

Upload a picture of your Driver’s License or State ID Card

No file chosen

Official Transcript Requirement (Required for Final Credit Award)

All official transcripts must be sent directly to the academy by the issuing institution.
Official transcripts must be emailed to:
📧 transcripts@capricecarthansacademy.com
Students will receive a confirmation email regarding their transfer credit request once documents are received and reviewed.

PROGRAM STRUCTURE ACKNOWLEDGMENT

(Required acknowledgments)

I understand the standard program length is 12 months, unless reduced by approved transfer credits. *

Agree

I understand coursework is completed online. *

Agree

I understand I am responsible for submitting assignments, participating in coursework, and maintaining academic progress. *

Agree

I understand access to the learning system is granted after enrollment is processed. *

Agree

I agree to the student handbook *

Agree

I understand there are no hidden fees or interest charges. *

Agree

I understand failure to maintain payments may result in suspension or dismissal. *

Agree

Required Financial Announcement

Please read and acknowledge the statement below before proceeding:

I acknowledge that I have paid the $150 registration fee in full. I understand that my next payment of $100 is due on April 2, 2026, and that I will continue making monthly payments of $100 until I complete the program. I understand that if I am classified as a transfer student, tuition is $50 per required class based on my transcript evaluation, and I will be responsible for paying $50 for each class in which I am enrolled. I agree to remain in good financial standing according to the tuition policies of the program. *

I acknowledge

Cancellation & Refund Policy Acknowledgment

Please read and acknowledge the statement below:

I understand that the 48-hour refund request period has passed. I acknowledge that all payments made are final at this time and are non-refundable. I understand that no refunds will be issued moving forward. *

I understand

STUDENT AGREEMENT & CONSENT

I certify that all information provided is true and accurate. *

Agree

I agree to comply with all Caprice Carthans Academy policies and academic requirements. *

Agree

I understand that submission of this form constitutes a binding enrollment agreement. *

Agree

Electronic Signature (Type Full Legal Name): *

Date *

Caprice Carthans Academy

Regionally accredited by WASC (Western Association of Schools and Colleges), an accrediting body recognized by the U.S. Department of Education.

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support@capricecarthansacademy.com
312-283-1600
Aon Center 200 E Randolph St Suite 5100 Chicago, IL 60601

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