Application Inquiry

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Student Information
All fields denoted with an asterisk (*) are required.
Student Name*
First Middle Last
Student Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Current Grade*
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
Entry Term or Start Date*
Residential Address*
Street Address Address Line 2 City State ZIP Code
Current or Most Recent School
School Name*
Address*
City State ZIP Code
Parent or Guardian
This will be your family's primary contact for admission.
Name*
First Last
Relation to Applicant*
Email*
Phone*
Preferred Method of Contact
- Phone Call
- Text Message
- Email
Residential Address*
Is your residential address the same as the applicant's?
- Yes, same address
- No, I'd like to enter a different address
Address
Street Address Address Line 2 City State ZIP Code
Would you like to add another parent or guardian to this application?*
- Yes, I'll add another parent or guardian
- No thanks, I'm finished
Parent or Guardian 2
Name
First Last
Relation to Applicant
Email*
Preferred Method of Contact
- Phone Call
- Text Message
- Email
Residential Address
Is your residential address the same as the applicant's?
- Yes, same address
- No, I'd like to enter a different address
Address
Street Address Address Line 2 City State ZIP Code
Lead Status
Referral Source

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GCE Lab School
1535 N Dayton St.
Chicago, IL 60642

f (312) 643-0975

Student Information