Senior Registration Reform
Thank you for taking the time to register for the Be A Leader Senior Workshop Series! Please fill out the following information for your attendance to be counted and please include an email that you frequently check. If you do not have a mobile number please use your parent's or guardian's.
Student I
nformation
First Name
Last Name
Date
of
Birth
Ethnicity:
Please select...
Asian
Latino
White
African-American
Native American
Other
ZIP Code
Estimated Household Income
Please select...
Less than $16,500
Between $16,500 - $27,400
Between $27,400 - $43900
More than $43,900
Contact Information
Email
Phone
Academic
Information
High School
Please select...
Other
AAEC Estrella Mountain HS 0013700000B7kdT
AAEC South HS 00137000008cbEz
ACYR Center of Excellence 0013700000LSSJn
Agua Fria HS 00137000008cbEX
Alhambra HS 00137000008cbD8
Apache Junction HS 00137000008fPp9
Apollo HS 00137000008cbDa
Arcadia HS 00137000008cbEu
Arizona Collegiate HS 00137000008fPpA
Arizona Conservatory for the Arts and Academics 0013700000TLLlG
Arizona School for the Arts 0013700000DbVrG
ASU Prep HS 0013700000Ak9ZC
ASU Prep Tempe HS 0013700000P8K6d
Barry Goldwater HS 00137000008fPpB
Basha HS 00137000008cbEj
Betty Fairfax HS 00137000008cbDG
Bioscience HS 00137000008cbD9
Blue Ridge HS 0013700000G4gi2
Bostrom HS 00137000008cbDA
Boulder Creek HS 0013700000G4beq
Bourgade HS 00137000008cbEd
Brophy Prep HS 00137000008cbEb
Buckeye Union HS 00137000008cbEe
Cactus HS 00137000008cbEP
Camelback HS 00137000008cbDC
Campo Verde HS 00137000008cbEp
Carl Hayden HS 00137000008cbDI
Casteel HS 00137000008cbEk
Centennial HS 00137000008cbEQ
Central HS 00137000008cbDD
Cesar Chavez HS 00137000008cbDE
Chandler Early College HS 00137000008cbEm
Chandler HS 00137000008cbEl
Chaparral HS 00137000008cbEv
Collidge HS 00137000008fPpC
Combs High School 0013700000PgBqs
Compadre Academy HS 00137000008cbDl
Copper Canyon HS 00137000008cbDU
Corona del Sol HS 00137000008cbDj
Coronado HS 00137000008cbEw
Cortez HS 00137000008cbDb
country gardens charter school 0013700000PgBoc
Deer Valley HS 00137000008fPpD
Desert Edge HS 00137000008cbEY
Desert Mountain HS 00137000008cbEx
Desert Ridge HS 00137000008cbEq
Desert Vista HS 00137000008cbDk
Desiderata HS 00137000008cbDF
Dobson HS 00137000008cbDO
Dysart HS 00137000008fPpJ
El Rancho HS 00137000008fPpK
Empower Collegiate Academy 0013700000LPFNO
Estrella Foothills HS 00137000008cbEf
Estrella HS 00137000008cbF0
Franklin Fire & Police Academy HS 00137000008cbDH
Gilbert HS 00137000008cbEr
Girls Leadership Academy 0013700000DbduG
Glendale HS 00137000008cbDc
Glendale Prep HS 0013700000P88Bf
Glenview College Prep HS 0013700000G4bdF
Greenway HS 00137000008cbDd
Hamilton HS 00137000008cbEn
Heritage HS 0013700000P88An
Highland HS 00137000008cbEs
Higley HS 00137000008cbEi
Hill Learning Academy 0013700000CPwFc
Horizon Community Learning Center HS 0013700000KZpBM
Independence HS 00137000008cbDe
Independence HS 0013700000P87yW
Ironwood HS 00137000008cbER
James Sandoval Prep 00137000008fPpL
La Joya Community HS 00137000008cbDW
Liberty HS 00137000008cbES
Linda Abril Educational Academy HS 00137000008cbDN
Madison Highland Prep HS 0013700000CPwK3
Marcos de Niza HS 00137000008cbDm
Maricopa HS 0013700000G4bfK
Maryvale HS 00137000008cbDJ
McClintock HS 00137000008cbDn
Mesa HS 00137000008cbDP
Mesquite HS 00137000008cbEt
Metro Tech HS 00137000008cbDK
Millennium HS 00137000008cbEZ
Moon Valley HS 00137000008cbDf
Mountain Pointe HS 00137000008cbDo
Mountain Ridge HS 00137000008fPpM
Mountain View HS 00137000008cbDQ
Nogales HS 00137000008fPpN
North Canyon HS 0013700000G4bdf
North HS 00137000008cbDL
North Pointe Prep 00137000008fPpO
Paradise Valley HS 00137000008fPpP
Peoria Accelerated HS 0013700000DbVrp
Peoria Flex Academy 00137000008cbET
Peoria HS 00137000008cbEU
Perry HS 00137000008cbEo
Phoenix Christain HS 00137000008fPpQ
Phoenix Christian Preparatory HS 0013700000Dxfxc
Phoenix Coding Academy 0013700000DxfxN
Phoenix Coding Academy HS 0013700000DxfxN
Phoenix Collegiate Academy HS 0013700000Ak9Yn
Phoenix Country Day HS 00137000008fPpR
Pueblo Magnet HS 0013700000Ak9Xf
Raymond S. Kellis HS 00137000008cbEV
Red Mountain HS 00137000008cbDR
Redeemer Christian School 0013700000PgBqY
Rose Linda HS 00137000008fPp8
Saguaro HS 00137000008cbEy
Seton Catholic High School 0013700000PgBqi
Shadow Mountain HS 00137000008fPpS
Sierra Linda HS 00137000008cbDY
Skyline HS 00137000008cbDS
Sonoran Science Academy-Phoenix 0013700000ROSea
South Mountain HS 00137000008cbDM
South Pointe HS 00137000008fPpT
South Ridge HS 0013700000Ak9YJ
St Mary's HS 00137000008cbEc
Sunnyslope HS 00137000008cbDg
Sunrise Mountain HS 00137000008cbEW
Teleos Preparatory Academy 0013700000LSSJd
Tempe High HS 00137000008cbDp
Thunderbird HS 00137000008cbDh
Tolleson Continuing Education Academy 0013700000QS4Hd
Tolleson Union HS 00137000008cbDV
Trevor Browne HS 00137000008cbDB
University HS 00137000008cbDX
Valley Vista HS 00137000008fPpE
Verrado HS 00137000008cbEa
Vista Grande HS 00137000008fPpF
Washington HS 00137000008cbDi
West Wind Acadamy 00137000008fPpG
Western School of Science and Technology HS 0013700000DvvFp
Western Science and Technology 0013700000TLM9X
Westview HS 00137000008cbDZ
Westwood HS 00137000008cbDT
WIlliams Field HS 00137000008cbEh
Willow Canyon HS 00137000008fPpH
Xavier HS 00137000008fPpI
Youngker HS 00137000008cbEg
Grade
Please select...
Freshman
Sophomore
Junior
Senior
New
High
School
Name
How many college applications have you submitted?
Please select...
1-2
3-5
More than 5
None yet
Have you taken the ACT or SAT?
Please select...
Yes
No, but I am still planning to
No, I do not need to take it
Have you submitted the FAFSA application?
Please select...
Yes
No, not yet
No, I am not eligible to apply
Questions?
If you have any questions about this form or the Be A Leader Senior Workshop please reach out to:
Edgar Avina - edgar.avina@bealeaderfoundation.org
Contact Information