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Pacific View Academy K-6 Application for 2021-2022 -- Aplicación de Pacific View Academy para grados K-6 en el año escolar 2021-2022
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Email
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Your email
My student is applying for: -- Estoy solicitando
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Independent Study -- Estudio Independiente
We have regular access to the internet. -- Tenemos acceso a internet de manera regular/confiable.
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Yes -- Sí
No
Student's First and Last Name -- Nombre y apellido del estudiante
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Your answer
Student Preferred Name -- Nombre que el estudiante prefiere
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Your answer
Student ID # (please type "1" if you do not know the number) -- Número de identificación del estudiante (escriba "1" si no sabe el número)
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Your answer
Current School -- Escuela actual
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Choose
Pacific View Academy
Branch Elementary
Dana Elementary
Fairgrove Elementary
Grover Beach Elementary
Grover Heights Elementary
Harloe Elementary
Lange Elementary
Nipomo Elementary
Ocean View Elementary
Oceano Elementary
Shell Beach Elementary
Other (if out of district, please type in the name of the school below) -- Otra (indique a continuación el nombre de la escuela si es de afuera del distrito)
Name of out of district school currently attending -- Indique el nombre de la escuela afuera del distrito
Your answer
Student Grade for 2021/2022 school year -- Grado del estudiante
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Choose
T-K
K
1st
2nd
3rd
4th
5th
6th
Date of birth -- Fecha de nacimiento
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Your answer
Age -- Edad
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Your answer
Parent/Guardian First and Last Name -- Nombrey apellido del padre o tutor
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Your answer
Parent/Guardian phone number -- Número de teléfono del padre o tutor
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Your answer
Student cell number -- Número de celular del estudiante
Your answer
Student Mailing Address Including City -- Domicilio postal del estudiante
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Your answer
Student Residence Address Including City -- Domicilio de residencia del estudiante
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Your answer
Language Spoken at Home -- Idioma que se habla en el hogar
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Your answer
Student lives with -- Con quién vive el estudiante
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Your answer
Relationship of person student lives with -- Relación o parentezco de la persona con quien vive el estudiante
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Your answer
Phone number of the person student lives with -- Número de teléfono de la persona con quien vive el estudiante
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Your answer
Does Student have an IEP or 504? -- ¿Tiene el estudiante un IEP o un plan 504?
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IEP
504
No IEP or 504
PARENTS/GUARDIANS: Please provide a written statement explaining why you are requesting Independent Study. -- PADRE/TUTOR: Indique en sus propias palabras por qué está solicitando Estudio Independiente.
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Your answer
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