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Alternative Education Application  2025-2026
This is an application of interest, not a guarantee of acceptance.  All applications are reviewed and responded to on a first come basis.  There are a limited number of spots available so please complete all information.
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Parent/Guardian Name *
Personal Email
This email will be used for correspondence purposes.
*
Parent/Guardian Phone Number *
Student First Name *
Student Middle Name *
Student Last Name *
Student Date of Birth *
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Student Address (include street, city, state, zip code) *
Student Phone Number *
Current School Name *
Select Student's Current Grade *
Student is currently interested in... *
In 2-5 sentences, please explain why your student is interested in an alternative to the traditional high school setting and why the student is a good candidate for the program. *
Check which services your child currently receives *
Required
Does your student currently work? *
If yes, where does your student work? *
Is your student currently serving a suspension or facing/serving expulsion? *
Read through the assurances below.  Please check each box to indicate your understanding of some of the requirements of the program. *
Required
Per the State of Indiana, students entering an alternative education setting must meet at least one of the following requirements.  Please select which statement best fits the situation for your student. *
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