Da Vinci Independent Study Interest Form
Da Vinci Communications, Design and Science will return to full in-person learning on Monday, August 16, 2021.

We kindly request that you complete this survey only if you are interested in the Independent Study program for the 2021-22 school year due to medical or COVID-related reasons for your student(s). If you have multiple students, please complete a form for each student of interest. If you plan to return to in-person learning, there is no need to complete this form.

𝗜𝗳 𝗜𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝘁 𝗦𝘁𝘂𝗱𝘆 𝗶𝘀 𝗮 𝗽𝗼𝘁𝗲𝗻𝘁𝗶𝗮𝗹 𝗻𝗲𝗲𝗱 𝗳𝗼𝗿 𝘆𝗼𝘂𝗿 𝗳𝗮𝗺𝗶𝗹𝘆, 𝗽𝗹𝗲𝗮𝘀𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗵𝗶𝘀 𝗶𝗻𝘁𝗲𝗿𝗲𝘀𝘁 𝗳𝗼𝗿𝗺 𝗯𝘆 𝗧𝗵𝘂𝗿𝘀𝗱𝗮𝘆, 𝗔𝘂𝗴𝘂𝘀𝘁 𝟭𝟮𝘁𝗵. There will be more information regarding the specifics of the Independent Study program on Monday, August 9th at 4:00pm at this zoom link: https://zoom.us/j/3108950461.

𝗤𝘂𝗲𝘀𝘁𝗶𝗼𝗻𝘀? Feel free to reach out to Grace Long, Independent Study Coordinator, at glong@davincischools.org.
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Email *
Last name of student *
First name of student *
Which school is your student currently enrolled in? *
Parent/Guardian email *
Your student's grade level for the upcoming school year 2021-22
Reason for Independent Study interest (optional)
Additional comments or questions (optional)
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