SAVE High School Application/Referral Form

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Thanks for your interest in attending SAVE High School. Please complete this application. We will contact you to schedule an interview with a member of our administrative team. For additional assistance please contact us at 907-742-1250.

Student Name *

Student ID#. (If you are unsure of your ID# enter Unknown) *

Student Phone Number *

Student Email *

Student Address *

Who are currently living with? *

Have parents/guardians been notified of the intent to apply to SAVE (over 18 or living independently select yes) *

Yes

Required

Current School *

Dimond HS

West HS

Service HS

South HS

Other:

Current Academic Credit Count *

5 credits and below

6 credits - 10 credits

10.5 credits - 14.5 credits

15 credits and above

Special Education Services *

Yes

504 Plan

Other

Have you talked with your School Counselor yet? *

Yes

Other:

Reason for Referral to SAVE High School *

How did you hear about SAVE High School? *

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