Apply Here | Nova

Have you received an invitation to Petals-N-Belles?

Are YOU ready for an amazing experience, new friends and a new outlook?

If you answered “YES” to the above questions, please fill out the form and apply today!

Keep in mind, the next step is an in person interview that will take place at your school. We are looking forward to seeing you again.

Name*
First Last
Date of Birth*
MM
DD
YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone*
Email*
Ethnicity*
- African-American
- Hispanic
- Asian-American
- Caucasian
- Other
Language*
Parental/Household Information
Parent/Guardian's Name*
Parent/Guardian's Home Phone Number*
Parent/Guardian's Cell Phone Number*
Parent/Guardian's Work Phone Number*
Parent/Guardian's Email*
Select the type of household you live in*
- Two Parent Household
- One Parent Household
- Grandparents
- Other
Educational Information
Current Jr. High or High School*
Grade*
Current GPA*
Graduation Date*
MM
DD
YYYY
Select your Level of Difficulty for the Following Subject Areas
English/Language Arts*
Mathematics*
Science*
History*
Physical Education*
Please list all Extracurricular Activities*
Please answer one of the following questions: 1. What's one thing nobody know about you ( don't worry bout thoughts are safe with us)? 2. What ideas, thoughts or life events keep you up at night?*

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