2017 GHA Application Part I

Personal Information

First Name: *

Middle Name:

Last Name: *


Date of Birth: *
Select a date from the calendar.
The Governor's Honor Academy has an equal opportunity policy and does not discriminate on the basis of race, color, natural origin, religion, sex or disability.
T-Shirt Size: *


Street Address or PO Box: *

Apartment/Unit #:

City: *

State: *

Postal Code: *


Contact Information

Home Phone: *

Cell Phone:

Email Address:

School Information

High School: *

Principal's Name: *

School Phone: *

GPA after 4 Semesters: *

2016-17 First nine-weeks GPA: *

Are you considered a 'Career/Tech' Student?

If yes, what is your area of study?

Number of AP/IB courses you have been eligible to take:

Number of AP/IB courses you have taken or are taking:

How many scores of three or higher have you made on the AP exams?

Family Contact Information

Name(s) of Parents:

Father's Home Phone:

Father's Work Phone:

Father's Cell Phone:

Mother's Home Phone:

Mother's Work Phone:

Mother's Cell Phone:

Print Confirmation
If, after clicking "submit," the page does not change, look back over your application for errors or incomplete blanks. If your application is transmitted successfully, you will receive a brief message thanking you for applying. Print the confirmation page and attach it to Part II, the paper part of the application. Students who do not submit both parts of the application by the deadline will be disqualified.