Call Us at 800-297-2119Employment Policy Sheet

Return to Step-Up

Enrollment Form

Step Up

18901 15 Mile Road
Clinton Township, MI 48035

Attn: Section 23

800-297-2119 | Fax 586-465-9481


Step Up

18901 15 Mile Road
Clinton Township, MI 48035

Attn: Section 23
800-297-2119 | Fax 586-465-9481

Student Enrollment Form


School Information:

Student Information:
Enrollment Form

Ethnicity Origin *

Gender *


Educational Information:

Are you currently attending school?

Are you planning to go back to the last school district attended?

Do you have a GED? *

Do you have a high school diploma? *


Special Needs Information:

Special Program Received at Prior School

Has the student been previously suspended or expelled?


I understand that I must earn at least 2 credits from Step Up in order to receive a high school diploma *


I certify that the above information is as true and accurate as possible.

Additional Contact Information.

Home Language Survey

The School District is collecting information regarding the language background of each of its students. This information will be used by the district to determine the number of children who should be provided bilingual instruction according to Sections 380.1152 - 380.1157 of the School Code of 1995, Michigan's Bilingual Education Law. Would you please help by providing the following information?

Thank you very much for your cooperation

Is your child's native tongue a language other than English? *

Is the primary language used in your child's home or environment a language other than English? *

WIDA-A Access assessment for ELL (English Language Learners) students must be taken as mandated by the Michigan Department of Education as part of the state testing and assessments. *Students that are English Language Learners must agree to participate in this yearly assessment.


As a Step Up student, I understand:


Enrollment Form
Enrollment Form

Please fill out all required fields before submitting! Thank you!

Join us on Facebook