Admission Application - SSA Lexington Secure Document Portal

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Basic Details
Contact Details
Address
Document Upload
First Name^*
Last Name^*
Gender
Male

Female

Other

Date Of Birth^*
Email^*
Phone^*
Username^*
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
Address^*

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Country ^*

ZIP ^*

Driver’s License (or State I.D)^*
Driver’s License (or State I.D)
Social Security Card (or Birth Certificate)^*
Social Security Card (or Birth Certificate)
High School Diploma or G.E.D^*
High School Diploma or G.E.D (Can also be transcripts) with graduation date listed
Summit Salon Academy Essay^*
Summit Salon Academy Essay
Summit Salon Academy Admissions Application^*
Submission Consent^*
I hereby confirm that all the information provided in this submission is accurate and truthful to the best of my knowledge. I understand that any false or misleading information may result in consequences as outlined in the school policy.