Troy Online Academy Application
Email address *
Parent First & Last Name *
Student Last Name *
Student First Name *
Student Home Address *
Parent Telephone Number *
2021-2022 Anticipated Student Grade Level *
Is your student on an individualized education plan (IEP) or 504 plan? *
If marked yes, you will be contacted by Director of Student Services Department.
Anticipated School of Attendance in 2021-2022 *
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