EHS Application for Summer School 2022

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Hello Emery Family,

Emery looks forward to supporting students through the summer with additional learning and enrichment opportunities!

You have received this application because your student has PRIORITY ENROLLMENT due to a need for credit recovery. This may be to recover credits for classes necessary for graduation, or A - G recovery to recover grades and create eligibility to admission into the University of California or California State University systems.
Summer school dates: 6/21 - 7/22

Students will attend Monday - Thursday with the exception on Juneteenth (observed Monday, June 20) and the 4th of July (observed Monday, July 4), and class on the last day of school - Friday, July 22.
Summer School Schedule: 8:30 am - 12 pm

Optional Enrichment (offerings to follow): 12:30 - 2:30 pm

Please return this application by Sunday, April 24. After summer school placements are finalized, a confirmation email will be sent.

Thank you!

Emery High School

Student Name: *

Student's birthdate: *

YYYY

Student's CURRENT grade: *

9th

10th

11th

Required

Parent/guardian's name *

Parent/guardian home phone number

Parent/guardian mobile phone number *

Parent/guardian work phone number

Does this student have an Individualized Education Program (IEP) or Section 504 Plan? *

Yes, my child has an IEP

Yes, my child has a 504 plan.

No, my child does NOT have an IEP or a 504 plan

Required

Emergency Contact Information – Must be available to be contacted or pick-up Student between 8:30-noon. Please provide: 𝙀𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮 𝘾𝙤𝙣𝙩𝙖𝙘𝙩'𝙨 𝙉𝙖𝙢𝙚 *

Emergency Contact Phone Number *

Emergency Contact Relationship to Student *

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