Long View Application
Students must attend an information meeting before being accepted to Long View High School. Please check the website (www.longviewhs.com) for upcoming info meeting dates and times.

There are a few questions on this application that may seem very personal but that will help us maintain our status as an Alternative Education Campus (AEC). "Yes" answers to these questions will not affect your acceptance These questions are identified as: (AEC question).

First Name
Your answer
Last Name
Your answer
Middle Name
Your answer
Name you prefer to be called
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Home phone number
Your answer
Date of birth
MM
/
DD
/
YYYY
Jeffco Student ID number (if applicable)
Your answer
Have you attended an information meeting at Long View? (every student must do so before an interview is scheduled)
If yes, date of information meeting
Your answer
Will you have completed at least 6 high school credits before attending Long View?
Number of high school credits you have earned so far
Your answer
Gender
Student Cell Phone Number
Your answer
Are you currently attending school?
Name of parent/guardian you live with
Your answer
Phone number for that person
Your answer
Their relationship to you
Names and ages of other children living with you
Your answer
Emergency Contact Name
Your answer
Emergency Contact Number
Your answer
Most recent High School attended
Total number of high schools you have attended before applying to Long View
Most recent grade attended
Do you currently receive any Special Education Services?
Name of Special Ed Primary Provider/Case Manager
Your answer
Are you presently employed?
Name of current employer (if applicable)
Your answer
Name of current supervisor (if applicable)
Your answer
Are you currently enrolled in a Warren Tech program?
Are you interested in enrolling in a Warren Tech program?
(AEC Question) Have you ever been suspended?
If yes, when?
Your answer
What were you suspended for?
Your answer
Have you been suspended more than once?
If yes, when?
Your answer
What were the other suspensions for?
Your answer
(AEC Question) Have you ever been expelled from a school?
If yes, when?
Your answer
What were you expelled for?
Your answer
(AEC Question) Do you have a pending court case?
(AEC Question) Are you currently on diversion, probation or parole?
What was your original criminal charge?
Your answer
In what city or county?
Your answer
Name of probation officer
Your answer
Phone number of probation/diversion officer
Your answer
(AEC Question) Are your parents or guardians in prison or on parole or probation?
(AEC Question) Have you dropped out of school or not been continuously enrolled or regularly attending any school for at least one semester prior to applying to Long View?
(AEC Question) Have you been committed to the Department of Human Services following adjudication as a juvenile delinquent or are you awaiting disposition that may result in commitment to the Department of Human Services?
How did you first hear about Long View?
On a scale of 1-10, how would you rate your desire to attend Long View?
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