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Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

Student First Name:

Student Last Name:

Student Grade Level (age) as of September 1, 2019:

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.

G.E.D/diploma-seeking or direct to college/workforce? (grades 9-12 only)

Student plans to complete the requirements to earn a G.E.D or Utah High School Diploma (schedule flexibility is limited).

Student plans to go directly into college and/or the workforce.

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