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Course Request Form - Personal Information:
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Name of Student:
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Student's Date of Birth:
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Student's Email:
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Parent/Guardian's Name:
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Your answer
Parent/Guardian's Email:
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Your answer
Parent's Phone Number:
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Mailing Address:
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Current School:
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Grade as of September 2024:
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I am interested in registering for:
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Edu-Together Virtual Academy - Full Program
Year-long course
Semester-long course
Credit Recovery/ Summer School Course
Enrichment and/or Prep Course
Short-Term academic support/tutoring
Please list any additonal courses for which you would like to register. Remember that ELA, Social Studies, Math, and Science are already included for full time students.
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Do you have a curriculum and text for this course, or do you want Edu-Together to supply the learning materials?
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