2024 - 2025 Connect Academy Enrollment Request Form
Thank you for your interest in Connect Academy, an independent study program that values a future-focused culture, fueled by passion, inspiration, and personalization.

We are a 6th-8th grade hybrid online and in-person learning experience which provides both daily teacher facilitated instruction and weekly in-person optional learning opportunities. 

Enrollment in Connect Academy is based on seat availability.  All interested families will be notified once placed.

*Please note that starting in the 2024-2025 school year, Connect Academy will be located at the D39 Campus  ( 17050 Del Sur Ridge Rd)

*Please complete a new Connect Academy request form for each student.*
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Email *
Parent/Guardian Email  *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Contact information, best email and/or phone to be reached
*
Student First Name *
Student Last Name *
2024-2025 Student Grade Level *
Student ID Number (optional) 
For families inside Poway USD: School of Residence?
If you need to identify and locate your School of Residence, please go to the Address Lookup tool. https://apps.powayusd.com/AddressLookup/AddressLookup.aspx
For families outside of Poway USD: Current School District?
Does your learner have any Special Services?
*
School your learner is currently attending?
*
Preferred start date?  (please allow a minimum of 5 school days when submitting request)
*
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Please share your reason for enrolling at Connect Academy.
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How did you hear about Connect Academy?
I understand that in order to access Connect Academy, an independent study program, my child and I will need to sign a Written Agreement before the beginning of the 2024 -2025 school year.
*
A copy of your responses will be emailed to the address you provided.
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