Pathways Enrollment Form - Student Information

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If you plan to enroll more than one student, please fill out a form specific to each child. Completing this enrollment form does NOT guarantee enrollment into Pathways Academy. Once you complete this form, we will contact you to set up a time to meet with our Program Lead and certified teacher to collaborate on the best plan for your child.

Student's First Name *

Student's Last Name *

Student's Grade (current) *

Which School Year are you enrolling your child for? *

Student's Previous Schools *

Please list previous schools your child has attended.

Does your child have a current IEP or other special accommodations? (ie. 504) *

Yes

If YES, briefly explain your child's accommodations

Has your child ever been suspended and/or expelled from a previous school? *

Yes

If YES, please provide further information

Which Program Would Best Suit Your Child? *

K-8 Homeschooling

9-12 Homeschooling

K-8 Blended Learning

9-12 Blended Learning

Other:

Has your child been enrolled with Pathways Academy in the past? *

Yes

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