2023-2024 BASD Cyber Learning Program Student Application: Grades 6-8
This application is only for the 2023-2024 school year. Your application will be reviewed by our enrollment team and you will be contacted regarding next steps. If you have questions or need assistance, please call the school office at 724-214-3400.
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
Parent/Guardian First and Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
What grade is the student in for 2022-2023 school year? *
Is the student currently enrolled in Butler Area School District?
Clear selection
Does the student receive special education services? *
Has the student ever taken courses through a cyber program in the past? *
Which IHS guidance counselor will the student be assigned? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Butler Area School District. Report Abuse