Financial Academy

Student Application

Complete the application below online. A parent or guardian should assist applicants under age 18 and provide the required consent and electronic signature.

Prefer a paper application?Download and print the complete Student & Parent Information and Application Packet.

Print the Packet

About the student

Student information

Student legal namePreferred nameDate of birthAgeSchoolGradeHome addressCity, state, and ZIP codeStudent phone, if applicableStudent email, if applicable

Family contact

Parent, guardian & emergency contact

Parent or guardian legal nameRelationship to studentPrimary phoneEmail addressAlternate parent, guardian, or authorized adultAlternate phoneEmergency contact name and relationshipEmergency contact phoneAlternate emergency phone

Program support

Participation needs

Allergies, dietary needs, accessibility needs, or accommodationsAdditional information program staff should know

Student voice

Interest and goals

Why would you like to participate in the Financial Academy?What is one money topic you most want to understand?What is one financial goal you would like to work toward?Have you participated in a financial education program before? If yes, please describe.

Student commitment

Review each commitment before accepting.

I will attend scheduled classes and arrive on time.
I will participate respectfully and complete program activities.
I will ask questions, protect other students’ privacy, and use what I learn responsibly.
I understand that graduation eligibility depends on attendance and participation requirements.

I have read and agree to all student commitments listed above.

Permissions

Consent and communication

I authorize program-related communication with the parent or guardian listed above.I authorize direct program-related communication with the student. Optional; parent or guardian approval is required for minors.

Photo and media permissionYes, I permit photographs or video for program, impact, fundraising, and promotional communications without identifying private information.No, I do not permit photographs or video of the student to be used.

I confirm that the information provided is accurate and accept the participation permission and privacy notice above.

Electronic signatures

Sign and submit

Typing a full name below serves as an electronic signature for this application. Applicants under age 18 must provide both student and parent or guardian signatures.

Student full name as signatureStudent signature dateParent, guardian, or adult participant full name as signatureRelationship to studentSignature date

Submitting opens your email application with the completed form addressed to office@legacycso.org.