Admissions Interest Form - SY 2018-19
Please answer all required questions
Last Name *
Your answer
First Name *
Your answer
Total # of Credits Earned *
Numero de creditos obtenidos
Your answer
State Regents' Exam Passed (Exam and Grade) *
Exames Estatal Pasado (Nombre del Examen & Grado)
Your answer
Do you have an IEP (Individual Education Plan)? *
Usted tiene un programa de educaciĆ³n individualizado (en Ingles IEP)
Contact Number *
Numero de Contacto
Your answer
Correo Electronico
Your answer
Name of parent or guardian attending Open House/Intake Interview with you. *
Nombre del padre or tutor legal que asistira a la seccion informativa con usted.
Your answer
Which Open House will you be Attending? OR Sign up for Waiting List *
Cual de estas secciones informativa usted asistira? O Registrarse en la lista de espera
How did you find out about Innovation Diploma Plus? *
Como se entero de la escuela superior Innovation Diploma Plus
Your answer
What school do you currently attend? *
Cual es el nombre de la escuela que asiste actualmente?
Your answer
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