Northern Michigan Innovation Academy Online/Blended Learning Application 
The student and parent/guardian must answer the following questions together, since some questions require input from both perspectives.  This survey is for informational purposes only and will not be scored.  Answer the questions honestly to determine if online/blended learning is the best fit for the student.  Please complete a form for EACH student applying for Northern Michigan Innovation Academy.
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Email *
Student First Name *
Student Last Name *
Program Applying For *
Which program are you most interested in at this time?
What grade are you applying for in the 2025-26 School Year? *
Current School (If attending a home school, please enter "Home School" *
Parent/Guardian Name *
Please enter the parent/guardian's first and last name.
Parent/Guardian Primary Phone Number *
Parent Email Address *
Technology Access *
 Do you have internet access at your home?
Computer Access *
Do you have a laptop or desktop available for each student in your household doing online learning?
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