Summer Learning Academy Interest Form
The Extra Mile after school program at Circleville Middle School and Circleville High School will be holding its 2019 Summer Learning Academy from June 3rd-20th, Monday through Thursday only from 8:30 a.m. to 12:30 p.m. 

The 6th-8th grade portion of the academy will be Math, Language Arts, and STEM based. Students will receive breakfast and lunch daily with attendance and transportation available. The 9th-12th grade program will be credit recovery based for students needing to make up credits and an ACT boot camp (June 10-14).

Fill out the interest form below and the you will be contacted with details about the enrollment process.

Student Name(s) *
Your answer
Guardian's Name
Your answer
2018-19 Grade: (6th-12th) *
Your answer
Program Interest
2018-2019 Student Grade: *
Your answer
Address *
Your answer
Guardian Daytime Telephone Number *
Your answer
Guardian Evening Telephone Number *
Your answer
Homeroom Teacher's Name *
Your answer
What days will your child be attending?
Notes: *
Your answer
Submit
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