Lincoln EDGE | Create New Account

Please select from the following school terms: *

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 *