2025 Spring Semester Extend Campus Application 
El Dorado Extend Campus is a school of choice within the USD 490 School District. Enrollment in Extend is open to USD 490 7th through 12th grade students. Applications and interviews are required in order to process enrollment.  At Extend, we follow USD 490 Board of Education policies, and students are expected to meet state attendance requirements. 
Sign in to Google to save your progress. Learn more
Email *
Student's Legal First Name *
Student's Legal Last Name *
Student's Preferred Name *
Student's grade level 2024-2025 school year
 *
Student's Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Parent Phone Number *
Parent Permanent Address City and State *
Student Resides with (check all that apply) *
Required
Who has custody of student? *
Are you a resident of USD 490? *
Why are you interested in Extend for your student?
 *
How did you hear about Extend?
 *
Extend Campus follows all published Board of Education policies and approved handbook policies. 
 *
An interview process is required and does not guarantee placement.  *
Further questions or necessary information for us to consider regarding your student.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of El Dorado Public Schools.

Does this form look suspicious? Report

Google Forms