Owensboro Innovation Middle School Application 2019-20
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Parent/Guardian Email Address
Student First Name
Student Last Name
Guardian First Name
Guuardian Last Name
Guardian Primary Phone Number
Does the primary guardian reside in Owensboro Public School boundaries?
What is your home zip code?
What grade will student be entering in 2019-20?
Which elementary school did/does the student attend in 5th grade?
Newton Parrish Elementary
If you are interested in fine arts participation in 2019-20, what groups would the student be interested in participating? (Check all that apply)
What iMiddle courses might the student be interested in exploring? (Check all that apply)
Graphic Arts/3D Printing
Please check all that may apply to the student in 2019-20. *Note: Checking a box won't qualify or disqualify a student from attending (it helps us plan appropriate plans and services for students).
Student is involved in the OPS Advanced Math Program
Student has a gifted service plan
Student has an Individualized Education Program (IEP)
Student has a Section 504 Education Plan
Student is involved in at least one OPS Sports program
Student has an English Learner Service Plan
Are there any other individual student concerns we should be made aware of?
What is the primary reason the student is applying to iMiddle?
What questions/concerns do you have about iMiddle that have yet to be addressed?
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