22-23 Options Enrollment Request Form
Please fill out every section of this form to the best of your ability and click submit. Please fill out an individual request for each student in your family. This application does not indicate acceptance into the Options Program. A school district staff member will contact you to schedule an interview.

If you have any questions, you are welcome to contact Mrs. Whitman or Mrs. Wagner at 509-796-2701 ext 4102/4103 or email options@reardansd.net. If accepted into the Options Program, you will need to turn in a completed Reardan-Edwall School District registration packet. The registration packet must be completed prior to beginning school.
Sign in to Google to save your progress. Learn more
What is your student's last name? *
What is your student's first name? *
What is your student's date of birth? *
MM
/
DD
/
YYYY
What is your student's grade level in fall of 2022? *
Please provide a parent or guardian name. *
Please provide a parent or guardian phone number. *
Please provide a parent or guardian email. *
What is your resident school district? *
What school does your student currently attend?  Why are you leaving your current school? *
What is your home address? *
Does your student have any of the following? *
Required
Is your student in the process or currently being evaluated for an IEP? *
Why do you want to join the Options Program? *
Do you or your current school have any concerns with your student in the following areas? *
Required
What is your student's learning style? for example: hands-on learning, reading, listening to music while learning, etc.... *
What are your student's life goals? *
What are your student's academic goals? *
Are you specifically interested in online learning for your student? *
How reliable is your internet at home? *
What is the primary language spoken at home? *
If you would like to request an interpreter for the informational meeting. Please indicate which language.
Is this student a sibling of another student in your family who is currently enrolled in the Options Program? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Reardan School District. Report Abuse
Google Forms