Student Registration

Registration

Student Information
Please use your Social Security number and full legal name as they appear on your Social Security card.
* Social Security Number
* Last Name
* First Name
Middle Initial
* Date of Birth
* Gender	Female Male
* Race/Ethnicity
* For research and reporting purposes only. This information will not be used to determine your eligibility for the ACE Scholarship.
* Primary Email Address
SecondaryEmail
	Such as a parent/guardian e-mail
Home Address
* Address 1
Address 2
* City
* State
* Zip Code
Mailing Address Same as Home Address
* Address 1
Address 2
* City
* State
* Zip Code

* High School