2018-19 GenNET ITV Online Registration Form
Complete the information below for each student enrollment at your district for the 2018-19 school year. Accurate information is important for completing each student's enrollment in Synergy and Blackboard.
District *
Building *
Counselor Name *
"Other" Counselor Name
Your answer
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student Gender *
Student Identification Number *
(Permanent ID, not UIC)
Your answer
Student Grade Level for 2018-19 School Year *
Student Birthdate *
MM
/
DD
/
YYYY
GenNET ITV Courses D0
GenNET ITV Courses D1
GenNET ITV Courses D2
GenNET ITV Courses D3
GenNET ITV Courses D4
GenNET ITV Courses D5
GenNET ITV Courses D6
Additional information for GenNET Staff about this student enrollment:
Your answer
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