Upper School: Application for Samuel Everett School of Innovation 2024-25
Thank you for your interest in our program. We are currently accepting applications for the 2024-25 school year. This form is for the 2024-25 school year.  

Students will need to meet the following requirements to be eligible for our hybrid program: 2.5 GPA (with all required courses for their grade level) , no failing grades, no discipline referrals, and no attendance issues.

Thank you for your interest in The Upper School at the Samuel Everett School of Innovation! After you have completed and submitted this initial application, we will contact you soon for next steps. You may contact Shonda.Hensley@blountk12.org with questions.

Samuel Everett School of Innovation does not discriminate on the basis of race, gender, color, religion, national origin, age, or disability in provision of educational opportunities or employment opportunities and benefits pursuant to the requirements of Title VI of the Civil Rights Act of 1964 as codified in 42 USC 2000D, Title IX of the Education Amendments of 1972, Pub. L. 92-318, the Individuals with Disabilities Education Act Section 504 of the Rehabilitation Act of 1973, the Title II Americans with Disabilities Act of 1990, Pub. L.101-336, the Age Discrimination Act of 1975, and the Boy Scouts of America Equal Access Act.
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Email *
Student's first name: *
Student's last name: *
Preferred name: *
Guardian's Email Address: *
Phone number: *
Guardian 1: *
Guardian 2
Who does the child live with? *
Home address: *
Child's date of birth: *
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Grade placement for the 2024-25 school year: *
Current school child is enrolled in? (please provide city and state) *
Has your child ever attended a Blount County School? If so, which one most recently? *
Has your child ever participated in "Virtual School"? *
If you answered, "Yes" to the above question, what school did your child attend?
Who was your child's virtual teacher?
If you answered, "Yes" to the above question, was your child successful? Please explain.
Have you ever applied to Samuel Everett School of Innovation before now? *
Does your home have access to wireless internet? *
We are excited that you are interested in The Upper School and Samuel Everett School of Innovation. Tell us more about why you are interested. *
What is your child's academic history like? *
Has your child ever received specials services from a school system? *
Does your child currently, or have they ever had an Individualized Education Plan (IEP)? *
My child's strengths are: *
What  are the learning and development goals you have for your child? *
The following have been a challenge to my child *
Required
Explanation of challenges my student faces: *
What would you like us to know about your student that we haven't asked? *
Are you also completing an application for a younger student (grades K-7)?  *
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