Spring 2021 D3MW High School Student Application
Please answer the following questions thoughtfully and thoroughly for enrollment in the D3 My Way online blended learning program. Once your complete application has been processed, you will be contacted with information on your enrollment status and to schedule orientation. This form should be completed by the student and a parent/guardian.
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Email *
Student Last Name *
Student First Name *
Student Expectations: As a potential D3 My Way student, I understand that I will need consistent access to a computer and the Internet. I understand that I will be required to log into online courses each school day and attend virtual Connection Days as required. I understand that continuing in the D3 My Way program is contingent on my success as a student in the D3 My Way program. By choosing "yes" below, I acknowledge understanding of the above expectations. *
School *
Grade *
Explain why you are interested in enrolling in the D3 My Way online blended learning program *
Describe any school related struggles you have experienced in the past year *
What challenges do you expect to encounter in an online blended learning environment *
Describe why you believe D3 My Way is a good fit for you *
Parent Name *
Parent Email *
Parent Phone Number *
Parent Expectations: As the parent of a potential D3 My Way student, I understand that I will have access to my student's online courses via a parent portal that I will check on a weekly basis to ensure my student is on pace in their courses. I also understand that D3 My Way communicates mostly through email. I will ensure my contact information is up to date, and I will check email at least once per week. I  understand that if my student is not following D3 My Way expectations, they may be required to return to their primary school of enrollment at the end of the academic semester. By choosing "yes" below, I acknowledged understanding of the above expectations. *
Does your student have significant health issues? *
If you answered "yes", please explain: *
Does your child have any of the following? *
Yes
No
Individualized Education Program (IEP)
504 Plan
Advanced Learning Plan (ALP)
A copy of your responses will be emailed to the address you provided.
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