Robinson School of Opportunity Application
Student First Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth MM/DD/YYYY *
MM
/
DD
/
YYYY
Student Gender *
Student Race *
Home Address/Street *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Phone Number (***)***-**** *
Your answer
Student Email (School Email) *
Your answer
What School Do You Attend? *
Your answer
Are you Planning on Enrolling in AP or Concurrent Credit Courses? *
What Career Area are you Interested in? *
Your answer
What are your Hobbies/Interests *
Your answer
Anticipated Career Path *
Your answer
What Subject do you like the most? *
Your answer
What Subject do you like the least? *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number (***)***-**** *
Your answer
Parent/Guardian Email Address *
Your answer
Explain why Personalized Learning is a good choice for you. *
Your answer
As a parent/student, we agree to attend parent/student conferences and follow guidelines. *
LINK TO GUIDELINES HERE: bit.ly/PCSSDDRIVEN
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