Bizzell Application 2023-24
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Email *
Student Name (first and last) *
Primary Phone Number *
Other Phone
Date of Birth *
MM
/
DD
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YYYY
Age *
Physical Address *
How do you get to school? *
Required
Current Number of Credits *
Current GPA *
What are your plans after college? *
Required
What is your favorite snack? *
Bizzell Requirements and Expectations
The following are requirements to participate in the Bizzell Academy program. Checking the box indicates that you have read and understand the requirements.
Requirements *
Required
Agreement *
Required
College, Career, and Military Readiness Pathways
Work Information
Are you currently employed? *
Acknowledgement 
If yes, where do you work?
Employer/Work Number:
If you're not currently working, do you plan to obtain employment while enrolled in Bizzell Academy?
Clear selection
Family Information
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Parent/Guardian Name #2
Parent/Guardian Phone Number #2
Parent/Guardian Email #2
School Information
Current Grade *
Number of Years in High School *
Have you ever, or are you currently, receiving Special Education or 504 services? *
Have you ever repeated a grade level? *
If yes, which grade(s)?
Do you have any children? *
Are you currently on parole, probation, deferred prosecution, or other conditional release? *
Have you ever dropped out of school? *
If yes, when did you drop out?
Program Questions
What is your toughest challenge in life right now? *
How do you manage it or what is your plan to overcome it? *
Why are you interested in attending Bizzell Academy? *
The majority of your work will be self-paced using the online Edgenuity program. How do you plan to stay on track to complete all your online courses? *
Reference Name (an adult who can recommend you as a good candidate for the program who is not in your family). A good candidate would be a high school counselor, recent teacher, or employer.  *
Reference Phone Number *
Further Information Needed!
Bizzell Academy will contact the following to ensure you have permission to attend:
-- Parent/Guardian
-- NHS Counselor/Principal 
We will need a copy of your current transcript if you are coming from a school outside of Navasota ISD. 
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