IPASS Phoenix Academy East Summer School
Please complete all sections of the application
Student Name *
What is your contact information? Please provide two methods of contact (example: email and cell; cell and landline). *
What is the name and phone number of your emergency contact (an emergency contact is required)? *
Select your grade level *
Do you plan to work during the month of June?
Check the equipment that you currently have below: *
Yes
No
Laptop
Desktop Computer
WiFi
Hot Spot
I understand that IPASS summer school is during the month of June, and I am committed to completing my course(s) by June 26, 2020. *
Required
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