Distance Learning Request
Please fill out this form to request your student be approved to complete course work remotely.  We truly believe the traditional classroom setting is the best learning environment but we will consider special circumstances. Before completing this form your student must be enrolled and accepted to attend Crooked Oak Public Schools.  After the request is received and reviewed by the committe you will be notified of the acceptance or denial within 30 days.
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Email *
What is your Student's legal name?
What is the guardian's name and relationship? *
Name of the person filling out this application. *
What is your phone number? *
Does your student live with you? *
How long will you be requesting to distance learn? *
What grade will they be attending this 2021-2022 school year? *
Does your student currently have an Individualized Education Plan (IEP)? *
Would your student need a device or internet to complete their course work? (select all that apply) *
Required
Please explain why you believe distance learning is best for your student.  Please include any medical, emotional or physical needs we need to consider. Documentation may be requested if necessary. *
I understand by completing this application Crooked Oak is not agreeing to provide distance learning at this time.  After the committe reviews the application a letter will be sent by email with the schools decision. *
Date *
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