My Tech High - Welcome to My Tech High's InfoCenter

Our tuition-free, personalized distance education program is available to home-based Utah residents between the ages of 5-18.

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Parent First Name:

Parent Last Name:

Parent Phone:

Parent Email:

Parent Email Again:

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2021:

Has student ever been diagnosed with a learning disability or ever qualified for Special Education Services through an IEP or 504 plan (including Speech Therapy)?

IEP (additional documents will be required)

504 (additional documents will be required)

Please review and submit this form as part of the standard application process.

Does this student plan to complete the requirements to earn a Utah high school diploma (schedule flexibility is limited)?

Yes

+ Add Student

City of Residence:

Student(s) agrees to adhere to all program policies and requirements, including participation in state testing. Review details at mytechhigh.com/utah.

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Apply for the 2021-22 Program