Troy Online Academy Application

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Email *

Parent First & Last Name *

Student Last Name *

Student First Name *

Student Home Address *

Parent Telephone Number *

2021-2022 Anticipated Student Grade Level *

Is your student on an individualized education plan (IEP) or 504 plan? *

If marked yes, you will be contacted by Director of Student Services Department.

Yes

Anticipated School of Attendance in 2021-2022 *

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