Freedom Academy of Imperial Valley High School Application
Please answer all questions.  Upon receiving the application, a Freedom Academy staff member will contact you to set up an appointment to meet with parent/guardian and student.  If you have any questions, please email alansman@husd.net.  
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Email *
Application for School Year: *
Student's Full Name: *
Grade Level for Requested Enrollment Date: *
Birthdate: *
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Student Street Address: *
Student City, State, and Zip Code *
Student Cell Phone Number: *
Parent/Guardian Name: *
Parent Street Address: *
Parent City, State, and Zip Code *
Parent Phone Number *
Parent Email: *
Last School Student Attended: *
Student's Current District: *
Why is student choosing Freedom Academy of Imperial Valley at this time? *
Reason for Transfer: *
Does the student have any suspension or expulsions - past or pending? Note: Students who have been suspended or expelled are not eligible for independent study during the their suspension/expulsion, as per California Independent Study Operations Manual. *
Required
If you answered yes to the previous question, please explain.
Does the student have excessive absences or has the student been referred to SARB (Student Attendance Review Board) at his/her current school? *
If you answered yes to the previous question, please explain.
Has your student ever received or initiated special education services or 504 accommodations? *
If you answered yes to the previous question, please explain.
What is the primary language spoken at home? *
How did you hear about Freedom Academy of Imperial Valley? *
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