Perry Innovation Center Student Application
As explorers of innovative educational practices, Perry Innovation Center provides an engaging, purposeful, student centered learning environment, to a student population that represents our community demographics.
Date *
MM
/
DD
/
YYYY
Student First Name *
Your answer
Student Last Name *
Your answer
Student ID *
i.e. 012345
Your answer
Parent E-mail *
Your answer
Does this child currently attend Perry Innovation Center? *
Select "Yes" if your student currently attends PIC and will you wish for him/her to continue at PIC the next school year. In this case, you only need to complete the Parent Signature and return this application, unless your student is an incoming 6th, 7th, or 8th grader this fall. If so, please complete the question under “6th - 8th grade Students Only”
Next
Never submit passwords through Google Forms.
This form was created inside of Grand Blanc Community Schools. Report Abuse - Terms of Service