DRHS Independent Study 22-23
Please answer all questions if you would like your student to be enrolled in Independent Study for the 22-23 school year.  Students will take 2 classes every 6 weeks.  You will be contacted the week of July 18-22 to schedule your orientation and program information.

IS Administrator, Mrs. Mary Jane Smith, Assistant Principal
IS Counselor, Mrs. Yvette Tumbeiro, Counselor
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Email *
Student Last Name
Student First Name
Student ID#
Student Date of Birth
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/
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Grade Level in Fall 22-23
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Parent/Guardian Contact Name
Parent/Guardian Contact Phone (with area code)
Other relevant information:
A copy of your responses will be emailed to the address you provided.
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