Referral Form

  • Crossroads Application Referral Form


    Thank you for considering Crossroads School.  We accept female students that are pregnant and/or parenting.  When submitting this application, please include the student’s current transcript, health and discipline records, special education/504 records, grades to date, verification of pregnancy from a doctor or a birth certificate if parenting. The student and her parent(s) or guardian(s) must attend an interview and turn in all paperwork prior to enrollment.  The interview process is to make sure that Crossroads can meet the needs of the applicant, and the applicant can make sure Crossroads is a good fit for her.  Crossroads will contact the applicant regarding acceptance into the program ASAP.