North Texas Academy

A Distance Learning Program 

Application

for

Shortened High School Diploma Program 

This program is recommended for adults needing a high school diploma for employment reasons. In some special cases, we can accept teenagers. Please type or print your answers. 

Your Name (as you would like it on your diploma):

Your Mailing Address (include city, state, and zip code on second line):

Your Age:                       

Your Date of Birth:                       

Phone Number (where you can be reached):  (      )                        

Alternate Phone Number:  (      )                        

How did you hear about us?

Enclosed is a check for $1,225.00 which I understand is not refundable, should I decide not to do this program. This pays for the shortened version of a high school program. I understand I am paying for the textbooks and supplies needed for this program, the shipping of these supplies to me, the registration fee, and the diploma fee. I have up to two years to complete the courses required in this program. I know it is my responsibility to ship all of my completed work to the school via certified mail, UPS, or Federal Express once I have finished the courses. Once the school receives all the work from my completed courses and the work has been graded by a teacher, I will receive a high school diploma and a transcript for the courses I have taken.

Signature

Date 

If you plan to do this program, please complete and mail this application along with your payment of $1,225.00 to: 

NORTH TEXAS ACADEMY

Shortened High School Program

1039 East 15th Street, Suite 203

Plano, Texas 75074