Twin Ridges Home Study Charter
Email address *
2018/2019 Application
111 New Mohawk Road, Nevada City, CA 95959
(530) 478-1815
FAX: (530) 478-0266
Date of Application *
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/
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Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade in 2018/19 school year *
Birthdate *
MM
/
DD
/
YYYY
Gender *
Residence Address *
Your answer
Mailing Address
Your answer
County of Residence *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Primary Phone # *
Your answer
Student History
Where is student currently enrolled? *
Your answer
City and State
Your answer
Phone #
Your answer
Is student currently enrolled in *
Yes
No
IEP/Special Education
504 Plan
Title I
GATE
Do you have prior homeschooling experience? If so, please describe briefly. *
Your answer
Why are you interested in Twin Ridges Home Study? *
Your answer
When are you interested in enrolling in Twin Ridges Home Study? *
Your answer
Who will be supervising the education of your student at home? *
Your answer
How did you hear about us?
Your answer
Thank you! We will be in contact with you when there is an open space. In the meantime, please feel free to call to schedule a tour of the campus.
*All paperwork and online registration must be submitted and completed before your student starts enrollment at TRHS.*
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