Satellite High School

Satellite Middle & High School

Director: Shelly Zackus
8 Westowne Street, Suite 800 Liberty, MO 64068
(816) 415-4822 fax (816) 792-1574

REGISTRATION AND ORDER FORM
ORDERS WILL BE SHIPPED IN 7-10 BUSINESS DAYS

Satellite is nationally and locally accredited by AdvancED, the North Central Association Commission on Accreditation and School Improvement (NCA CASI), the Commission on International and Trans-Regional Accreditation (CITA), and the National Private Schools Association Group.

Date: ____________________

Student's Name: ____________________________________________________________

Student's Date of Birth: ______________________________________________________

Parent / Legal Guardian's Name(s): _____________________________________________

Student’s Address: ___________________________________________________________

City/State/Zip Code: __________________________________________________________

Home Phone Number : (_______)_______________________________________________

Cell or Work Phone Number: (______)___________________________________________

Student's Current School: _____________________________________________________

Student's Current Grade Level: _________________________________________________

School's Address: ____________________________________________________________

School's City / State / Zip Code: _________________________________________________

Select one: ________ this course will be returned to your current school (ex. credit recovery, course acceleration, etc.)
OR ________ you are not enrolled in another school and this course will be used to fulfill grade-level
requirements through Satellite Middle School

Students who choose not to take their exams at our local center in Liberty, MO must find a teacher or counselor at
their own school or in their area who will be willing to administer their exams. Exams will be mailed directly to and
from this proctor. Please complete the following information about your proctor:

Proctor's Name: ______________________________________________________________

Proctor's school address (where the exams will be mailed):

Name of the school: ___________________________________________________________

School's Address: _____________________________________________________________

School's City / State / Zip Code: _________________________________________________

School's Phone Number: _______________________________________________________

School's Fax Number: _________________________________________________________

OR ________ I will be taking my exams at the Satellite center in Liberty, MO

Select one:
______ paying $25 registration fee only at this time-this is a one-time fee due only when a student first enrolls
______ paying for registration and indicated courses at this time
______ registration already paid, only paying for courses at this time-courses must be paid for when they are ordered-no course will be shipped prior to payment

Courses cost $69 per 1/2 credit (a semester), $138 per whole credit (both semesters). STUDENTS MAY ORDER JUST SEMESTER ONE, JUST SEMESTER TWO, OR BOTH OF ANY FULL CREDIT COURSE. No refunds or exchanges are allowed after 5 business days; a sample chapter of any course may be ordered for $4. Payment methods: credit card, debit card, money order, or cashier's check payable to Satellite Middle & High School. No personal checks accepted.

Total amount enclosed: _______________

*For credit card payment:

Select one: _____ Visa _____ MasterCard _____ Discover

Account number: _____________________________ Expiration date: ____________

Security code (3 digit number on the back of the card): __________________________

Name as it appears on the card: _____________________________________________

Billing address of cardholder: _______________________________________________

Please circle which course(s) and semester(s) you are ordering at this time.

Students may order just semester 1 or 2 or both of any course at any time.

Each semester has 16 lessons and 2 midterm exams.

Courses are printed on paper. Courses are not online.

Thank you for your order!

Satellite Middle School Courses
Grades 6-8

For course descriptions, click on the "descriptions" link.

MIDDLE SCHOOL COURSES	Semester(s) Ordered
GRADE 6
Language Arts 6	1^ST	2^ND
World History	1^ST	2^ND
Integrated Math 6	1^ST	2^ND
Integrated Science 6	1^ST	2^ND
GRADE 7
Language Arts 7	1^ST	2^ND
U.S. Government & U.S. Presidents	1^ST	2^ND
Integrated Math 7	1^ST	2^ND
Integrated Science 7	1^ST	2^ND
GRADE 8
Language Arts 8	1^ST	2^ND
U.S. History	1^ST	2^ND
Integrated Math 8	1^ST	2^ND
Integrated Science 8	1^ST	2^ND

Middle School Order
- Descriptions