New Student Online Enrollment

New Student Registration

Account Request

This form is the first step to enrolling your new student online. Complete it to request an account that you will use to log in to a secure system.
Complete required fields to request an account to enroll your student(s). Your family must reside in Michigan in order to enroll with Uplift Michigan Online School (UMOS). For more information on Eligibility Requirements (such as age requirements), please review the eligibility requirements on our website at https://www.uplift-mi.org/eligibility/.

Enter the name of the legal parent/guardian of the student you want to enroll

Guardian Legal First Name:

Guardian Legal Last Name:

Guardian Legal Middle Name:

Guardian Legal Name Prefix:

Guardian Legal Name Suffix:

Guardian contact information

Guardian Email Address:
Re-type Email Address:
Guardian Primary Phone Number:

Complete the security dialog

Asterisk (*) denotes a required field