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Wayne-Westland Innovative Academy Interest Form
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Email
*
Your email
We are accepting applications for new students for the 2023-2024 school year.
Today's Date
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MM
/
DD
/
YYYY
Student's First and Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Present School
*
Your answer
Student's Phone Number
*
Your answer
Gender
*
Female
Male
Identify as Female
Identify as Male
Other
Wayne-Westland Innovative Academy offers a high school diploma program, not a GED program. All students must follow the same requirements that a traditional high school requires. Students need to complete the 18 core State of Michigan credits.
Student's Grade Level
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Elementary School
Middle School
9th
10th
11th
12th
Other:
Parent / Guardian Name
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Your answer
Street Address
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Your answer
City
*
Your answer
State
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Your answer
ZIP Code
*
Your answer
Parent/Guardian Phone Number (We must have a working phone number to contact you to set up an interview.)
*
Your answer
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