DLAB Interest Form

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DLAB Interest Form

The BPUSD independent study program, also known as D-Lab, provides instruction to 3rd through 12th grade students. Students enrolled in the D-Lab program are able to access their curriculum through a virtual learning platform which can be accessed from their home 24 hours a day, 7 days a week, allowing them to work at their own pace. Students take a full load of courses just as they would at the traditional school site.

Please complete one form per child.

If you have any questions regarding the DLAB program please contact the school district at (626) 856-4443.

Email *

Parent/Guardian Legal First Name *

Parent/Guardian Legal Last Name *

Phone Number *

Language of Correspondence *

English

Spanish

Other:

Address *

City *

Zip Code *

Name of Student *

Student ID #

Student's Current Home School *

Incoming grade level of Student *

Date of Birth of Student *

YYYY

Gender of Student *

Male

Female

Non-Binary

Does your student receive an additional support services? *

Individual Education Program (IEP)

Section 504 Accommodation Plan

Homeless Youth Services

Foster Youth Services

English Language Development (ELD)

Gifted and Talented Education (GATE)

None of the above

Reason for Applying *

Submit

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