iCAN (Canyons Academy North) Application Form

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** IMPORTANT: We have been able to secure a LIMITED number of additional spaces in the iCAN Academy for the Spring 2022 semester. The application is now reopen**

A lottery will be held if necessary.

The new application deadline is October

Non-Discrimination Statement:

The William S. Hart Union High School District prohibits unlawful discrimination against and/or harassment of any student, employee or job applicant on the basis of actual or perceived race, color, ethnicity, national origin, immigration status, ancestry, religion, age, marital status, pregnancy, parental status, physical or mental disability, medical condition, military or veteran status, political affiliation, sex, gender, gender identity, gender expression, genetic information, sexual orientation, or any other basis prohibited by state and federal nondiscrimination laws respectively at any District site and/or activity. All inquiries regarding discrimination, civil rights, and/or Title IX should be directed to the Director of Human Resources, William S. Hart Union High School District, 21380 Centre Pointe Pkwy, Santa Clarita, CA 91350, or by phone (661) 259-0033, or by email: UCP@hartdistrict.org

Email *

Student's Last Name *

2. Student's LEGAL First Name *

3. Student LEGAL Middle Name *

4. Birthdate (mm/dd/yyyy) *

YYYY

Student's Current Grade (2021/22 school year)

Is the student enrolled at Castaic High School? (enrollment is required before iCAN application will be considered) *

Yes

6. Hart District School ID # (Enter NONE if you are a non-district student) *

7. Does the student have a 504 Plan? *

Yes

8. Does the student have an IEP? *

Yes

Student's current GPA (verification may be requested) *

13. (1) Name of Parent/Guardian *

15. Cell Phone Number (xxx-xxx-xxxx) *

Which iCAN program were you interested in applying for?

Traditional iCAN program

iCAN Health Science Pathway

iCAN Welding or Manufacturing Pathway

iCAN Administration of Justice Pathway

A copy of your responses will be emailed to the address you provided.

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