STUDENT INFORMATION
First Name *
Middle Name
Last Name *
E-Mail * Student email address must be wholesome and appropriate for school use.
Phone Number *
Address * Number/Street/Apt.
City *
Zip Code *
Date of Birth * mm/dd/yyyy
Grade Level *
9
10
11
12
Current School *
Current District *
For which term is the student applying? *- Select -Fall 2020 - Qtr 1/Sem 1Fall 2020 - Qtr 2/Sem 1Spring 2021 - Qtr 3/Sem 2Spring 2021 - Qtr 4/Sem 2
How did you hear about iHigh Virtual Academy?
Why is the student choosing iHigh Virtual Academy at this time? *
What is the reason for the student leaving the current school? *
Has the student had home schooling or independent study experience? If yes, where, during what grade levels, and for how long? *
Does the student have an active Individualized Education Plan (IEP)? * IEP 504 Neither Special Education students may qualify if recommended through the IEP team. An iHigh staff member must attend the IEP meeting at which iHigh is discussed as an option. 504 students may qualify if plan goals can be met within iHigh's independent study model.
Does the student participate in school athletics? If so, what sport(s)? Is the student currently being recruited or expecting to be recruited to play in a Division 1 or Division 2 college athletic program? *
Who will take primary responsibility for assisting and supporting the student's educational program at home? *
Describe the level of familiarity the student has with computers and the Internet. Beginner Proficient Advanced
Current Grade Point Average * 3.5 or higher 2.5 to 3.4 2.0 to 2.4 Below 2.0
Current Reading Level * Below 9th 9th 10th 11th 12th or higher Unknown Must be verified by standardized test scores or reading assessment.
Please explain any truancy and/or unexcused absences.
Please explain any suspensions and/or expulsions. Students who have been suspended or expelled are not eligible for enrollment in independent study during the duration of their suspensions/expulsions, as per the California Independent Study Operations Manual.
Does the student have transportation to school for required activities such as science labs, proctored exams, Binder Days, state testing and some elective courses? * Yes No
What was the student's score on the iHigh Readiness for Online Learning Quiz? *