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InfoCenter

Apply for the 2023-24 Program

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

**For residents of Oregon, please review these state-specific details prior to submitting an application.**

If you already have a student in the program, please log in before submitting an application. Thank you!

Please complete all required fields.

Parent First Name

Parent Last Name

Parent Phone

Parent Email

Parent Email Again

Student First Name

Student Last Name

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

Student First Name

Student Last Name

Student Grade Level (age) as of September 1, 2023 Student Grade Level as of 09/01/2023

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)?

No

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

No

State of Residence

Parent and student(s) agree to adhere to all program policies and requirements, including participation in state testing -- review details at mytechhigh.com/policies.

If new to My Tech High, please tell us who referred you so we can thank them!