Request edit access
Registration Interest
If you are interested in registering for courses here at the Tinkham Educational Center, fill out the form below and someone will be in touch with you.
Sign in to Google to save your progress. Learn more
What is your name? *
What is your date of birth? (mm/dd/yyyy) *
What is your phone number? *
What is your address? *
Parent/Guardian Name(s)
Parent/Guardian Phone #
Do you need a bus to take you to school? Only available for in district students
Clear selection
What program of study are you interested in? Check as many areas you have interest *
Required
Where was the last school you attended and when?
HAS STUDENT BEEN SUSPENDED FOR 30 DAYS OR MORE AND/OR EXPELLED FROM A PREVIOUS SCHOOL? *
HAS STUDENT RECEIVED ANY SPECIAL EDUCATION, 504 OR SUPPORT SERVICES, PLEASE INDICATE THE TYPE OF SERVICE. *
Is there anything else you would like us to know about you?
How did you hear about us? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wayne Westland Community Schools. Report Abuse