Thank you for your interest in Genius SIS. Please fill out the application below with your information.

Once you click on "Submit", your account will be created and you will then be taken to a page where you can select the courses you would like to be enrolled in. You will also receive an email with your account information and additional instructions.

If you have any questions, you can contact us at 1.888.GALILEO or via email at donotreply@geniussis.com.

Basic Information
Online Learning Program Local District Student ID Number
Last Name: First Name:
Middle Name: Grade Level:
Phone: Cell Phone:
Gender: Date of Birth:
(MM/DD/YYYY)
Email:
(this will be your Genius login)
Password: Anticipated Graduation Year
   

Address
Street: City:
State: ZIP:
County: Connected By:
Lives with:    

Guardians
Guardian 1 Guardian 2
Relationship:
Last Name:
First Name:
Street: Same address as student
City:
State:
Zip:
County:
Phone:
Phone 2:
Phone 3:
Email:
(Please use a different email than the student's)
Relationship:
Last Name:
First Name:
Street: Same address as student
City:
State:
Zip:
County:
Phone:
Phone 2:
Phone 3:
Email:
(Please use a different email than the student's)
       

Program Information
Enrolling School District: (Choose from the drop-down or start typing the district name)
Resident School District: (Please change if different than enrolling district)
School Name:
Counselor Name Schedule Type