Valley Academy Regional Career Academy Student Application 2019-2020
APPLICATIONS MUST BE COMPLETED AND SUBMITTED ON LINE
Application closes March 22, 2019.
1. How did you hear about Valley Academy? Check all that apply. *
Required
2. Student First Name *
Your answer
3. Student Last Name *
Your answer
4. Age *
Your answer
5. Date of birth *
Example: December 15, 2005
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6. Gender* *
7. Ethnicity *
8. Race *
Contact Information
During the application review process, we may need to contact you regarding your application.
9. Street Address (Mailing Address) *
Your answer
10. City *
Your answer
11. Zip Code *
Your answer
12. Parent/Legal Guardian Home Phone Number *
Your answer
13. Name of Parent/Legal Guardian *
Your answer
14. Parent/Legal Guardian Email Contact *
Your answer
15. Name of Parent/Legal Guardian (Additional)
Your answer
16. Name of Parent/Legal Guardian Email Contact (Additional)
Your answer
17. Student's Cell Phone Number *
Your answer
18. Student's Email Address *
Your answer
19. Father's/Guardian Education *
20. Mother's/Guardian Education *
21. Current Grade Level *
22. Current school attending: *
23. Current Math: *
24. How many days of school did you miss in the previous school year? *
Your answer
25. Have you ever been suspended or expelled from school? *
25a. If yes, please explain:
Your answer
26. Is this student currently being served by an IEP? *
27. Is this student currently being served by a 504 plan? *
28. Is this student currently being identified as an EL? *
29. Do you have a sibling that is currently attending or has attended Valley Academy? If yes, who? If no, enter N/A. *
Your answer
30. Valley Academy has limited school activities and does not have organized sports. However, students that attend Valley Academy during the instructional day may be eligible to participate in extra curricular activities including interscholastic athletics at their home district high school. *
Please indicate below which extra curricular (including athletics) that you may be interested in participating in next year.
Your answer
Home Language Survey
This information will be shared with our district partners to ensure that communication is provided in appropriate additional languages.
31. What is the primary language spoken in the students' home? *
Your answer
32. What language does this student speak most often? *
Your answer
33. Was this student born outside of the United States? If so, where? *
Your answer
Student Essay Questions
The Yadkin Valley Regional Career Academy student is a capable individual. The student possesses the maturity and independence to accept the challenges of this progressive school and is capable of honors level work and participating in college classes. The Yadkin Valley Regional Career Academy student is interested in being part of an intimate community of peers and faculty.

Please answer the following questions so that we can learn more about you.
34. Why are YOU interested in attending the Yadkin Valley Regional Career Academy? (Be Specific) *
Your answer
35. Valley Academy will provide a rigorous high school and college curriculum. Valley Academy class structure will emphasize project based instruction and collaboration. Describe your personal characteristics that will enable you to be successful in these courses. *
Your answer
36. Valley Academy is a high school option that is, by nature, different from the traditional high school model. Students are expected to be successful both at Valley as a high school student and DCCC as a college student. What are you looking for at Valley Academy that your traditional high school does not offer? *
Your answer
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