Lincoln EDGE | Create New Account

Please select from the following school terms: *

Lincoln EDGE Application (To Be Completed by Parent/Guardian).

Please complete and submit the following application to apply to Lincoln EDGE. Once submitted, your home school district will be notified. The school district will either approve or deny your application. If it is accepted, you will be contacted to discuss the next steps in the admission process. If your application is denied, you will be notified via email. If you need assistance, please contact the office at (717) 718-5852 or send an email to [email protected].

Thank you for choosing Lincoln EDGE!

Agreement - To be completed by Parents/Guardians

Please follow this link to our Computer/Wifi Agreement.

You will be required to read and concur with it in order to proceed with your application. *

I have read and concur with the Computer/Wifi Agreement.

Please follow this link to our Student/Parent Handbook.

You will be required to acknowledge your receipt and understanding of this document to proceed with your application. *

I have read and concur with the Student/Parent Handbook.

Student Information

First Name *

Last Name *

Middle Name

Home School District *

Gender *

Date of Birth *

Grade Level *

Notes

Has your child attended Lincoln EDGE previously? *

If your child's school district is not listed above, please enter:

In which school district is your child currently enrolled? *

In what language(s) are Lincoln EDGE staff able to communicate with you? *

If applicable, please list the students cell phone number

Do you agree to receive email correspondence that may contain student information? (ex. IEP, report card, etc.) *

Address

Street *

City *

State *

Country *

ZIP *

Student Email (Use parent's if not available) *

Race

Phone

Country of Birth

Citizenship

Hispanic

Primary Parent/Guardian Information (parent with whom the student resides)

Relationship

Parent Last Name *

Parent First Name *

Parent Email *

Parent Phone *

With whom does the student reside? *

2nd Parent/Guardian Information

Relationship

Parent Last Name

Parent First Name

Parent Email

Parent Phone

With whom does the student reside?

Additional Information

When Lincoln EDGE needs to send mass messaging a One Call Now system is used. What one telephone number would you prefer to have listed to receive these calls? *

Do you have any concerns about your child student that you would like to discuss privately with the Lincoln EDGE school counselor *

Why are you requesting to enroll your child in Lincoln EDGE? *

By submitting this application you are in agreement that Lincoln EDGE is able to share information about your child that may impact your child's academic progress with the online instructors. *

Home School Number *