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FVCC COURSE REQUEST FORM 2023-2024 SCHOOL YEAR
Online Course Requests for Current High School Students from Batavia, Central, Geneva, Kaneland, St Charles, East Aurora and West Aurora
* PLEASE COMPLETE ALL QUESTIONS ACCURATELY
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Student Last Name
*
Your answer
Student Legal First Name
*
Your answer
Student Preferred Name/ Nickname
Your answer
Please select your high school
*
Choose
Batavia
Central
Compass Academy
Geneva
Kaneland
St Charles East
St Charles North
East Aurora
West Aurora
Please choose the grade you will be in the Fall of 2023 / entering the next school year.
*
Choose
12th
11th
10th- eligible to take PLTW classes only
9th- eligible to take PLTW classes only
Student Cell Phone in this format ###-###-####
Example 630-123-4567
Your answer
Student email (not your school email as those are turned off during the summer **IMPORTANT INFORMATION WILL BE SENT TO THIS EMAIL ABOUT YOUR COURSE OVER THE SUMMER - BE SURE TO CHECK THIS ACCOUNT STARTING IN JULY!! **)
*
Your answer
Student email (school email)
*
Your answer
Do you have an IEP? If you're not sure, answer No.
*
Yes
No
Do you have a 504? If you're not sure, answer No.
*
Yes
No
Do you have a Medical Plan for allergies, diabetes, or any other documented medical condition?
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Yes
No
Parent / Guardian 1 First and Last Name
*
Your answer
Parent / Guardian 1 email
*
Your answer
Parent / Guardian 1 Phone Number in this format ###-###-####,
Example 630-123-4567
*
Your answer
Parent / Guardian 2 First and Last Name
Your answer
Parent / Guardian 2 email address
Your answer
Parent / Guardian 2 phone number in this format ###-###-####, Example 630-123-4567
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Gender
*
Choose
Female
Male
Prefer not to disclose
Birthday mm/dd/yyyy
*
Your answer
T-Shirt Size
*
S
M
L
XL
XXL
Other
Ethnicity/Race
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic
Native Hawaiian or Other Pacific Islander
White
Multiple
Unspecified or Other
Required
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