Application Form

Student Information

Important Notes - Please Read Carefully

Students who apply to wrong grade level will be placed at the end of the waiting list of the correct grade level.
If a student fails in 20-21 and is not promoted to the grade level s/he applied to, s/he will be placed at the end of the waiting list of the correct grade level.
Cumulative number of credits required to be placed in the high school grades are as follows:
- 9th grade: 0—5.99 credits
- 10th grade: minimum of 6 credits
- 11th grade: minimum of 13 credits
If a students cannot accumulate the required number of credits for the grade level s/he applied to, s/he will be placed at the end of the waiting list of the correct grade level.
When a child is enrolled at Quest, transfers are only allowed in between school years.
You will receive a letter confirming receipt of your child's application. If you do not receive a confirmation letter, please contact Mrs. Vollrath at 309-402-0030 ext. 1000 by March 18 .

Grade Level for 2021-2022 *

Last Name *

First Name *

Middle Initial *

Date of Birth *

/ /

Home Phone *

Gender *

Street *

Apt. #

City *

State *

Zip Code *

Important Note Regarding Special Services - Please read carefully:

Quest does not discriminate based on disability, race, creed, color, gender, national origin, religion, ancestor, marital status or need for special education services. Quest will provide a continuum of services to address students' special education needs along with providing supplementary and related services on site. Per Quest's contract with Peoria Public School District 150, if Quest does not offer the least restrictive environment prescribed by the student's IEP, then appropriate services will be provided through an appropriate district facility.

Ethnicity *

Current School Information

Name of Current School *

City *

Phone *

Type of School *

Siblings Information*

*Only complete this section if there are siblings applying for admission. A separate application must be submitted for each child applying for admission.

Siblings Also Applying *

Name / Grade *

Parent/Guardian Information

Student Lives With *

Parent / Legal Guardian *

Parent / Legal Guardian Name *

Street Address *

City *

State *

Zip Code *

Cell *

Work *

E-Mail *

Attention: If you are receiving errors submitting this form, please send an email to Mrs. Vollrath (vollrath@questpeoria.org) or call 309-402-0030 ext. 1000. Be sure to include in your message your name, phone number, and email address. Your message will make sure you are included in the lottery and we will contact you for the rest of the application information.

Application Form for the 2021-2022 School Year

Student Information

Important Notes - Please Read Carefully

Important Note Regarding Special Services - Please read carefully:

Current School Information

Siblings Information*

Parent/Guardian Information