2026-2027 Ferguson High School Application
** This application is to be filled out by the student. **

Ferguson High School is designated an Alternative Education Campus (AEC) by the Colorado Department of Education.  This designation means 90% or more of our students fall into at least one of the at-risk categories identified by Colorado Statute (SB 09-163). Questions in this application help determine if a student qualifies in one or more of these categories and if they are a good fit to join the Ferguson community.  Students at Ferguson High School must fulfill the graduation requirements set forth by the Thompson School District to receive their diploma.

Application Process:
In order to be placed on our waiting list, students must do the following:
1.Students must be in 9th-12th Grade.
2. Submit (online) a completed application form and send all previous TRANSCRIPTS, including immunizations to the attention of Sarah Rosenberry at 1811 West 15th Street, Loveland, CO 80538.
3. Successfully complete an interview.  If accepted, students are required to attend an orientation.
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Email *
Student First Name *
Student Middle Name *
Student Last Name *
Student Nick Name
Student Age *
Student Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Gender *
Address *
City *
Zip Code *
Home Phone Number
Student Cell Phone Number *
Parent/Guardian First Name and Last Name *
PARENT Preferred Language *
Relationship (Example: mother, stepmother, grandparent, etc.) *
Parent/Guardian cell phone *
Parent/Guardian Email *
Student:  Are you currently employed? *
If yes, where are you employed?
Current Supervisor's Name
Student:  Do you have a valid Colorado Driver's License? *
If yes, what is your Driver's License number?
Will you be driving a vehicle to school? *
If yes, what is the make, model, color and license plate number of your car?
Are you currently attending school? *
TSD Student ID number (lunch code). If you are not enrolled in Thompson School District, please enter "000000." *
Most recent grade attended:   *
I am currently receiving services on one or more of the following learning plans: (Check all that apply)

**Please Note**: Per the Colorado State Board of Education, schools are no longer allowed to inquire about disability status prior to making a decision for acceptance or denial. If your student receives special education services or section 504, plan to have this information readily available as soon as our interview process is complete. *
Required
Name of most recent high school attended (please provide a transcript if last school is outside Thompson School District.): *
Address and Phone number of last high school attended if it NOT a Thompson School District School.  Please provide a transcript if the last school attended is outside of Thompson School District.
Other high schools attended: (choose all that apply) *
Required
Are you currently enrolled in an online class with a Thompson School District School *
If yes, what class(es) and who is your teacher.
Have you ever been expelled from school? *
If yes, for what reason(s)?
Have you ever been suspended from school? *
If Yes, for what reason(s)?
Do you have multiple in-school or out-of-school suspensions? *
When was the onset of your school behavioral issues? *
Do you have, or ever had, attendance issues? (Excused, unexcused, tardies, missed periods) *
If yes, for what reason(s) were you absent?
Do you have a history of truancy? *
When was the onset of your truancy issues? *
Have you had contact with any law enforcement agencies in the past 6 months? (This includes law enforcement agencies outside of Thompson School District) *
Have you ever been arrested? *
If yes, for what reasons(s)?
Are you currently on probation? *
If yes, for what reason(s)?
Name of Probation Officer
Phone number of Probation Officer
Do you have a history of substance use/abuse (current or in the past)? *
Onset of personal drug and/or alcohol involvement? *
Is there a history of drug use or abuse in your family? *
Is there a history of violence in your home? *
Do you have a diagnosed psychological or behavioral disorder? *
Have you ever underwent a threat or suicide assessment? *
Have you ever dropped out of school? *
When was the onset of your school academic issues? *
Are you a parent? *
If yes, what is the age of your child?
If expecting, when is your due date?
MM
/
DD
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YYYY
Are you, or have you ever been homeless? *
Have you experienced any grief or loss? *
If yes, share a short description of the grief or loss concern(s).
Have you experienced a traumatic event? (major accidents, health problems of a family member, your own health problems, witness to a traumatic event, etc.) *
If yes, share a short description of the traumatic event(s)
Please check any interventions that apply to your background (check all that apply) *
Required
With whom are you currently living? *
How would you describe your relationship with your parents? *
Describe a positive high school experience. *
Describe a negative experience in high school. *
What do you like to do when you are not at school or work? *
What else would you like us to know about you? *
How did you learn about Ferguson High School? *
What do you think you can contribute to our school? *
Why do you want a high school diploma? *
What do you hope to do after you graduate from high school? *
In a short paragraph, explain why coming to Ferguson High School will allow you to be successful with attaining your life goals. *
Readiness Reference: Is there a person (other than your parent/guardian) that can attest to your readiness to attend Ferguson High School with the intention of being successful? *
If yes, please provide the name, phone number, and relationship (teacher, counselor, neighbor, etc.) of the person you'd like for us to contact. *Educational references are preferred*
Student, type your first and last name here.  Your signature indicates that all of the information you have provided in this packet is correct and was completed by you.  Any misleading or false information of this form will result in immediate removal from Ferguson High School waiting list, and/or immediate dismissal from Ferguson High School. *
If you have a question or special need, please include below.
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