Allegan Advantage Application Form

Legal First Name *

Middle Initial

Legal Last Name *

Date of Birth *

Gender *

Non School Email *

Student Cell Phone *

School *

Name(s) of Parent/Legal Guardian
with whom the student resides *

Home Address *

City *

State *

ZIP Code *

Mother's Contact Number

Father's Contact Number

Parent/Guardian Email *

Do you receive Free and or Reduced
lunch at your school? *

Did your mom attend college and
complete a college degree? *

Did your dad attend college and
complete a college degree? *

Career Field of Interest *

Do you have a 504 or IEP? *

Do you require an AM or PM
College Schedule? *

An email will be sent to your high school counselor entered below allowing them to upload your transcript for your application.

Counselor Name *

Counselor Email *