APPLICATION Denver Public Schools/School District No. 1 1860 LINCOLN STREET 3RD FLOOR Phone – (720) 423-4900 Fax - (720) 423-4998 Website - Eghs.dpsk12.org Diploma Classes are offered Monday through Thursday between 8:00am-3:35pm Friday 12:00pm - 3:00pm GED Classes offered Monday through Thursday between 8am-3:35pm, Friday 12:00pm 3:00pm Please Circle Applying for: H.S. DIPLOMA 8:00 am – 2:25pm 9:10am- 3:45pm GED PROGRAM 8:00 am- 2:25 pm 9:10 am- 3:35 pm LEGAL NAME (last)_______________________(first) ______________________(middle)_________________ AGE_____ DATE OF BIRTH _____/_____/______ ADDRESS__________________________________________CITY______________STATE______ZIP_______ STUDENT CELL PHONE (____) ______-_____________HOME PHONE (____) ______-______________ EMAIL ADDRESS_________________________________________________ LAST HIGH SCHOOL___________________________ TODAY’S DATE__________________________ How long have you been out of school? _________________________________________________ Special Ed/IEP Services ____YES ____NO (If yes, please bring most recent plan) Please Note: Specialized education services are only available from 8:00am – 2:00pm. Who referred you? ___________________________________________________________________ How did you hear about the program?__________________________________________________ REQUIREMENTS FOR EMILY GRIFFITH HIGH SCHOOL 1. Student must be 17 to 20 years old. 2. Students must complete reading, math and language tests (may take up to 3.5 hours). Testing is available Monday-Thursday from 8:30am – 11:30am. 3. 4. Submit all paperwork to EGHS Registration office (room 327), Monday-Thursday between 8:00am - 2:00pm. Student must attend a multiple-day orientation if accepted. *WE DO NOT ACCEPT EXPELLED OR OUT FOR DISCIPLINARY STUDENTS * *INCOMPLETE APPLICATIONS WILL BE SHREADED AFTER 30 DAYS NO CONTACT* TO FACILITATE THE REGISTRATION PROCESS, PLEASE BRING/ATTACH A COPY OF: • TRANSCRIPTS (Diploma Program only) • BIRTH CERTIFICATE, PASSPORT, or RESIDENCY CARD • IMMUNIZATION RECORDS • PHOTO ID (must be government issued, domestic or foreign, for GED Program) • BEHAVIOR & ATTENDANCE REPORT (if available) THIS SECTION TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN OF 17 YEAR OLD APPLICANT I, BEING THE PARENT/LEGAL GUARDIAN OF ___________________________ DO HEREBY GRANT PERMISSION FOR HIM/HER TO ENROLL AND PARTICIPATE IN THE EMILY GRIFFITH HIGH SCHOOL PROGRAM, AT EMILY GRIFFITH TECHNICAL COLLEGE. Signature of Parent or Legal Guardian Phone Number Update 1/26/15 MA Today’s Date Update 6/4/15 JD