Verdugo Academy 2022-2023 Commitment Form for returning Independent Study Students
All eligible students who would like to continue with independent study and would like to enroll at Verdugo Academy for the 2022-2023 school year are asked to complete this commitment form by Friday, April 22, 2022.
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Email *
Verdugo Academy 2022-2023 Commitment Form for Returning Students
Student Full Name (First & Last) *
Student GUSD ID# (6 digits) *
Previous Independent Study Supervising Teacher for 2122 school year *
Student's Grade for the 2021-2022 School year *
Student's Grade for the New 2022-2023 School Year *
Does your student have an IEP or 504 plan *
Required
Parent/Guardian Full Name (First & Last) *
Parent/Guardian Email (this email will be used for school contact and should be regularly checked) *
Parent/Guardian Phone *
Home Address (123 Main St) *
City,  Zip (Glendale, 91207) *
My child is currently attending GUSD with a permit from an outside school district *
Provide names of any other siblings that are returning to Verdugo Academy, along with their grade levels.
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