Kentucky School for the Blind/Kentucky School for the Deaf Supplemental Year (2021-2022) Request Form
Kentucky Senate Bill 128 (2021) allows all current KSB and KSD K-12 students to request to use the 2021-2022 school year as a supplemental year. The student can retake and/or supplement coursework already completed. If you would like to request a supplemental school year allowing your student to repeat the current grade level during the 2021-2022 school year, please complete the following Google Form.
Supplemental Year 2021-2022
Yes, I would like to request to use the 2021-2022 school year as a supplemental year.
No, I do not wish to use the 2021-2022 school year as a supplemental year.
Student First Name
Student Last Name
Kentucky School for the Blind
Kentucky School for the Deaf
Parent/Guardian First and Last Name
Parent/Guardian email address
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This form was created inside of Kentucky Department of Education.