Aspire - Account & Registration Request

Legal First Name*

Legal Last Name*

Legal Middle Name or Initial

High School

Email*

Use an account (example: Gmail) that won't block email sent from CHS so Aspire can remind you of important deadlines.

Confirm Email*

Password*

Please choose a strong password, with min. 8 characters, at least 1 digit and 1 uppercase letter

Retype Password*

Date of Birth*

Social Security Number

Student SSN is needed if parent/guardian is going to submit the IRS Form 1098-T tax form. The data will be protected. If this field is left blank, CHS is required by the IRS to send multiple requests to furnish it. The IRS may fine a taxpayer if a 1098-T is issued and the university has not received the student's SSN.

Where do you currently reside?*

Permanent Address*

City*

State*

Postal or Zip Code*

Student Cell Phone Number (10-digit)

10 digits (i.e. 5551231234)

Parent Phone Number (10-digit)

10 digits (i.e. 5551231234)

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent Email*

DEMOGRAPHIC INFORMATION: The demographic information collected on this form is designed to provide the institution with ethnic, sex, disability, and citizenship data on all applicants. These data are used by the University to respond to the requests of governmental agencies for aggregated summary information that must be provided by law. This information will not be used by the University in making admission decisions, nor will the information on individual students be released outside the University without the written permission of the student.

Gender*

Are you of Hispanic or Latino ethnicity (meaning Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardles of race)?

Regardless of your answer above, please select one or more race(s) that you identify with:

American Indian/Alaska Native

Asian

Black/African American

Native Hawaiian/Other Pacific Islander

White

US Citizenship Status*

U.S. Citizen

U.S. Refugee

U.S. Immigrant Permanent Resident

Non-Immigrant Student, Visitor

Non-US Citizen

I attest that the information given is correct.*

Welcome to Aspire

Your portal to concurrent enrollment