Enrollment

Thank you for your application to enroll in Hope Academy!

Our guidance department will carefully review your enrollment application and follow up with any additional questions. If you do not hear back from us within 24 hours, please email or call our executive director, Rachelle Gardner directly.

Consent*
- I understand that Hope Academy is a high school in Indianapolis for students struggling with substance use (marijuana, alcohol and other substances).
Applicant’s Name*
First Middle Last
Date of Birth*
Age*
Sex
Grade
Address*
Street Address Address Line 2 City State ZIP Code
Student Cell Phone Number
Student Email
Does student have an
- IEP
- 504
Last School Attended*
County of Residence*
Parent/Guardian
Student Lives With
Parent/Guardian’s Full Name*
First Last
Relationship to Applicant*
Home Phone
Cell Phone
Work Phone
Home address, if different from Applicant
Street Address Address Line 2 City State ZIP Code
Email Address*
Parent/Guardian 2
Parent/Guardian’s Full Name
First Last
Relationship to Applicant
Home Phone
Cell Phone
Work Phone
Home address, if different from Applicant
Street Address Address Line 2 City State ZIP Code
Email Address
Consent*
- I agree to the privacy policy.
Comments
This field is for validation purposes and should be left unchanged.

Thank you for your application to enroll in Hope Academy!

Parent/Guardian

Parent/Guardian 2