MANUAL COURSE ENROLLMENT FORM
From our Home Page or our literature, please choose the type of course format you would like, select a subject area, choose the course(s) you would wish to enroll, and complete & mail this form to manually enroll for courses.
THE FOLLOWING SECTIONS MUST BE COMPLETED FOR MANUAL ENROLLMENT.
PERSONAL INFORMATION & LOG-IN INFORMATION
PERSONAL INFORMATION & LOG-IN INFORMATION
SSN* ______________-__________-______________ BIRTH DATE* ______/_______/__________ (Please see Privacy Policy for additional information.)
NAME* ______________________________________________________________________________________ Title / First Name / Middle Name / Last Name
ADDRESS* ____________________________________________________________________________________ Street / Apt. or Unit # / City / State / Zip
PHONE(s)* ___________________________________________________________________________________ Home Phone # / Cel Phone # / Other Phone #
EMAIL* ___________________________________________________@__________________________________
ALT EMAIL ________________________________________________@__________________________________
PASSWORD* _________________________________________________________________________________ (Please provide your Site Password, or create a Password here in order for us to manually enter you into our site.)
SCHOOL DISTRICT* ______________________________________ (Please email or call us if you are in the LAUSD)
PREVIOUS VANGUARD STUDENT: □ YES □ NO / PLEASE CHECK IF ANY OF THE ABOVE INFO HAS CHANGED □
COURSE INFORMATION – for MANUAL ENROLLMENT
COURSE