Columbus Enrollment Form (14-21 years of age)

The Academy for Urban Scholars High School is a public community school established under Chapter 3314 of the Ohio Revised Code. Students enrolled are required to pass all state mandated assessments as well as complete all other graduation requirements as prescribed by Ohio law.

In order to receive a High School Diploma from The Academy For Urban Scholars, students who have been excused from the compulsory attendance law for the purpose of home education, as defined by the Administrative Code, shall no longer be excused for that purpose upon their enrollment in a community school.

For more information contact the school administration or the Ohio Department of Education.

This form asks applicants for information about themselves, including their educational and family background. Please click in the desired field and fill out the form. After completion sign and submit this form.


(Proof of residency must match address)

Contact Information

Is your family homeless? *
Does the scholar receive special education services (IEP)? *
Was the scholar ever retained? *
If you answered "Yes" for homeless you will need to fill out this form.
Which Career Pathway is the scholar most interested in learning about? *
I hereby authorize your organization, to furnish The Academy for Urban Scholars with court documents, official transcripts, test records, Immunizations, Hearing and Vision records, individualized educational plans (IEP)(ERT), multi-factored evaluation (MFE), student accommodation plan (504), and/or  psychological reports.  Also, please include my child's most recent subjects, grades, SSID number, and Birth Certificate.
Attn: Admissions/Records Officer
The Academy for Urban Scholars
1808 East Broad St.
Columbus, Ohio  43203
Phone: 614-545-9890  Fax: 614-545-9889   IRN: 012528
Signature *
By signing this form I acknowledge that I have read this form and agree that all information I entered is accurate.
*This form and any response to it may constitute a public record, and therefore may be available upon request in accordance with Ohio public records law (ORC 149.43).