WelcomeApplication Workshop at Harvest PrepThursday, October 1, 2026 at 8:45 AM until 9:45 AMUS Mountain Standard Time UTC -07:00Map and DirectionsHarvest Preparatory Academy350 E 18th StYuma, AZ 85364United StatesLoading...* Indicates required fieldStudent InformationFirst Name*Preferred NameLast Name*Birthdate*Birthdate*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email Address*Cell Phone*I give permission to University of Arizona to send me updates related to the event I am registering for, as well as additional information that may be relevant to me, via text messaging. (Standard message charges apply.)YesNoPlease select your school from the drop down menu, if possible.Current or Most Recently Attended High School/College*// hidden ceeb codeDo you require any disability-related accommodations?* (All virtual sessions will include live transcription and closed captioning.)YesNoPlease list those accommodations here:Student's Enrollment InformationEntering As*First-YearTransferReadmitNon-Degree SeekingIntended Start Term*Fall 2026Fall 2027Fall 2028Fall 2029Fall 2030Intended Start Term*Fall 2026Spring 2027Fall 2027Spring 2028Fall 2028Spring 2029Fall 2029Spring 2030Fall 2030// set value of 'yes' if event start time has passed// Hidden field to calculate the student's current age as of today.Parent SignatureParent or Legal Guardian Attestation I am the parent or legal guardian of the student named above. I consent to providing this information and confirm that I am the person submitting this form.Click to Sign...Submit
