Bridges Accelerated Learning Center Application 2019-2020
* Required
Student Last Name
*
Your answer
Student First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Home Campus
*
Grapevine High School
Colleyville Heritage High School
Collegiate Academy
iUniversity Prep
Grade
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Freshman
Sophomore
Junior
Senior
Student cell phone number
*
Your answer
Student Email
*
Your answer
Parent name
*
Your answer
Parent cell phone number
*
Your answer
Parent Email
*
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Cell Number
Your answer
Parent Email
Your answer
Your answer
Are you currently or have you taken classes through Edgenuity?
*
Yes
No
Not Sure
Do you qualify for any of the below programs?
*
At - Risk
504
Special Education / ALL Lab
ESL
Gifted and Talented
None of the Above
Required
List any medications you take regularly.
*
Your answer
Medically diagnosed health conditions (Ex. pregnancy, asthma, diabetes, etc.)
*
Your answer
How badly do you need Bridges?
*
It would be nice but I don't have to accelerate my learning
1
2
3
4
5
I won't graduate if I don't get to come to Bridges
What are you plans after high school?
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Your answer
Share two things that make school hard for you.
*
Your answer
Share two ways we can best help you achieve your goals.
*
Your answer
List 3 teachers we should ask to complete a recommendation form.
*
Your answer
Parent Consent
*
Yes - I have consulted with my parent/guardian, and he/she approves my application.
No - I have not consulted with my parents/guardian. If no, your application will be deferred until your parents approve.
Required
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