Interest Form - IDEA Center HS
2018-19 School year. First day of school is Tuesday, August 14, 2018.
Email address *
Student Name (First/Middle/Last) *
Your answer
Student Gender
Student Date of Birth *
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/
DD
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YYYY
Student Grade Level (Fall 2018)
School student currently or most recently attended
Your answer
Does the student have a special education IEP? *
Does the student have a 504 Plan? *
Does the student receive English Language Learner Services *
Does the student reside within the Grossmont Union High School District boundaries?
Primary Home Address *
Your answer
Primary Family Phone *
Your answer
Parent/Legal Guardian (1) Phone Number *
Your answer
Parent/Legal Guardian (1) Email
Your answer
Parent/Legal Guardian (2) Phone Number
Your answer
Parent/Legal Guardian (2) Email
Your answer
Why does your student want to attend IDEA Center High School?
Your answer
How did you hear about IDEA Center High School?
Your answer
A copy of your responses will be emailed to the address you provided.
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