HSEP Student Application 2023-2024
In order to receive an interview to the High School Extension Program students should complete this application.  Once a completed application is received the administration at HSEP will reach out to schedule an interview with the student and a family member.  
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First Name *
Last Name *
Pronouns  *
Learning Community (CRLS) or School *
Phone Number *
Parent/Guardian Name *
Parent Guardian Name
Parent's Phone Number *
Parent Email *
Parent preferred mode of communication *
Do you have a current IEP or 504? *
If no, have you ever been evaluated for an IEP while a student in CPS? *
What is your current living situation? Do you live primarily in one household? *
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