Admissions Interest Form - SY 2020-21
Please answer all required questions
Student Last Name *
Student First Name *
Total # of Credits Earned *
Numero de creditos obtenidos
State Regents' Exam Passed (Exam and Grade) *
Exames Estatal Pasado (Nombre del Examen & Grado)
Do you have an IEP (Individual Education Plan)? *
Usted tiene un programa de educación individualizado (en Ingles IEP)
Are you mandated for ENL (English as a New Language) services? *
Usted recibe servicios de Ingles como segundo idioma?
Student Contact Number *
Numero de Contacto
Student Email Address
Correo Electronico
Name of parent or guardian participating in the Intake Interview with you *
Nombre del padre o tutor legal que participara en la entrevista virtual?
Parent/Guardian Contact Number *
Numero de Telefono del Padre o Tutor Legal
Parent/Guardian Email Address
Correo Electronico del Padre o Tutor
We will be conducting interviews between 9:00 am and 12:00 pm. Please select your top 3 choices and we'll contact you to schedule a specific date. *
What school do you currently attend? *
Cual es el nombre de la escuela que asiste actualmente?
Thanks for expressing interest in joining the IDP Community! In order to expedite your application, please ask a staff member from your school to email with the following documents; Permanent Record, RESI & IEP (if applicable). Please make sure the name of the applicant is listed in the Subject of the e-mail and we will reach out to you to schedule the interview.
Never submit passwords through Google Forms.
This form was created inside of Innovation Diploma Plus. Report Abuse