Clinton Central Alternative Program Application
Our mission is to provide students with positive opportunities to develop their full potential.

The Clinton Central Alternative School Program believes all students will learn. We seek  academic achievement by recognizing the unique needs of at-risk students and by offering non-traditional educational opportunities relevant to their concerns, attitudes and abilities. We strive to assist students in coping with the challenges of society and daily life so they may be better prepared to adapt, overcome and pursue any challenges they may face in the future. 

We believe it is our responsibility to address the holistic development of students without  discrimination as each student is an individual with a unique combination of needs and  concerns, desires, attitudes and abilities. We further believe that academic excellence can be  achieved through a partnership of students, staff, parents, and community that emphasizes non traditional methods of instruction and experiential learning.

Alternative School Goals: 

• Become lifelong learners (academic goal) 

• Develop to one’s full potential (personal goal) 

• Become productive members of the workforce (vocational goal) 

• Become contributors to society (social/citizenship goal) 

• Explore and develop strategies for coping with personal, family and social problems 

• Develop skills in interpersonal communication and cooperation 

• Develop the personal responsibilities and self-motivation necessary to direct and evaluate one’s own learning. 

• Develop a positive self-image


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Email *
Student's First Name *
Student's Middle Name *
Student's Last Name *
Student's Complete Address *
Student's Date of Birth *
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Please check if your student receives the following supports: *
Required
Student's Grade *
Student's Previous School *
I give permission for Clinton Central School Corporation to request my student's records from their previous school.  *
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Cell Phone Number *
Parent/Guardian 1 Email Address *
Parent/Guardian 2 First Name *
Parent/Guardian 2 Last Name *
Parent/Guardian 2 Cell Number *
Parent/Guardian 2 Email Address *
Please list or describe your student's strengths: *
Please list or describe areas of concern for your student:  *
Please list or describe behavioral issues your student has had in school. If none, please type none. *
Please explain briefly your goals for your student if they are admitted into the Clinton Central Alternative Program. *
What are your student's career and college goals? What are their plans after they graduate from high school? *
Schedule: 

AM Session 8:00-11:00 - Community service/work release 12:00-3:00

OR

PM Session 12:00-3:00 - Community service/work release 8:00-11:00

Full Day 8:00-3:00 (Junior High Students will be required to attend full day, unless they are employed.)

Virtual - Student will work virtually from home and have a work release designated time each day. Students will be required to come in for regularly scheduled check ins with the alternative program instructor. 

Students will NOT be permitted to attend breakfast or lunch with the rest of the student body. Student will NOT be permitted in the hallways during passing periods to converse with the rest of the student body.


*
Required
Will your student require transportation?

Full day student will be provided transportation to and from school. 

AM Students will be provided transportation to school. They will not be provided transportation home.

PM Students will be provided transportation from school. They will not be provided transportation to school.

* Out of district students will need to provide their own transportation.

 *
I understand that if my student is accepted into the Clinton Central Alternative School Program that I and my student will need to attend an in person meeting with an Administrator to review and sign the Alternative School Handbook before my student can begin classes. *
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