Twilight Academy Application 2022-23 School Year

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Use this form to complete pre-registration. A Twilight Academy staff member will contact you with next steps.

Email *

Student's Name *

Student's Home Address *

Student's Email Address *

Student's Date of Birth *

Student's Gender *

Current School (please list school name and city if other is selected) *

STEM Academy at Showalter

Chester High School

Other:

Current Grade (in 2022-2023 school year) *

Parent/Guardian Name *

Best telephone number to reach Parent/Guardian *

Parent/Guardian Email Address *

Best method to contact Parent/Guardian *

Phone

Text

Any of the above methods

Why do you want your child to participate in the Twilight Academy? (Choose all that apply) *

Curriculum

Work Schedule

Personalized Learning

Flexibility

The ability to progress at student’s pace

Credit Recovery

Required

How would you rate your child as a student? *

Excellent (mostly As with a few Bs no Cs)

Good (mostly Bs with a few A and or Cs no Ds or Fs)

Fair (mostly Cs with a few Bs no more than one D or F)

Needs Improvement (Mostly Ds and Failing grades with a few Cs, Bs, or As)

How many days has your child been absent from school since September of this school year? *

1 - 5

6 - 10

10 - 15

More than 15

What are your child’s career/college goals after graduating from high school? *

Do you have internet/Wi-Fi at home? *

Yes

In the space below list the ways Twilight Academy can support your child to have a successful academic year. *

Submit

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