Crossroads - 2018 Summer School Application
Please fill out the information below. Once your counselor has verified your course selections, they will send you an e-mail confirming your enrollment in Summer School. If you have questions, please see your counselor.
First Name *
Your answer
Last Name *
Your answer
Student ID Number *
Your answer
Grade (Current) *
Who is your Counselor? *
Student Email Address (List one that you check often) *
Your answer
Student Phone Number *
Your answer
Parent Email Address
Your answer
Parent Phone Number *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact's Relationship to Student (ex: Grandmother) *
Your answer
Emergency Contact Number *
Your answer
List any Student Medical Issues *
Your answer
Please select the course(s) you need to make up during summer school (Select all that apply):
Classes listed below are all taught by an instructor
Available Face-to-Face Classes: (will be taught by a teacher)
Please list other failed course(s) you need to make up (that are NOT listed above):
These courses will be taught online through Odysseyware. Daily attendance will be required.
Odyssey Classes:
Your answer
You MUST check each of the following to indicate your agreement and understanding about summer school: *
This will serve as your contract for summer school and indicate that you have read, understand, and will abide by the summer school rules and regulations.
Summer School Checklist: *
Required
Parent Signature
Please type your name and date here as an electronic signature:
Parent Name/Date *
Your answer
Student Signature
Please type your name and date here as an electronic signature:
Student Name/ Date *
Your answer
Submit
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