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Bridge Enrollment Form

To begin the enrollment process for Bridge, please complete the form below.

Required

I have previously attended White's Jr/Sr High Schoolrequired
Must contain a date in M/D/YYYY format
Must contain only numbers

Student Criteria and Barriers

The student meets the following criteria for placementrequired
Additional barriers to education for the student (check any that apply)required
Must contain only letters and spaces
Must contain only letters, numbers and spaces
Must contain only letters, numbers and spaces
IEP or 504 Planrequired
0 / 1000

The Civil Rights Act of 1964, Title VI, Language Minority Compliance Procedures, requires school districts and charter schools to determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students as outlined Plyler v. Doe, 457 U.S. 202 (1982). The purpose of this survey is to determine the primary or home language of the student. The HLS must be given to all students enrolled in the school district / charter school. The HLS is administered one time, upon initial enrollment in Indiana, and remains in the student's cumulative file. Please note that the answers to the survey below are student-specific. If a language other than English is recorded for ANY of the survey questions below, the W-APT or WIDA Screener will be administered to determine whether or not the student will qualify for additional English language development support. Please answer the following questions regarding the language spoken by the student:

Must contain only numbers
Must contain only letters, numbers and spaces
Must contain only letters, numbers and spaces
Is the student currently employed
CURRENT COURSE SCHEDULE
 
CURRENT TRANSCRIPT needed prior to finalizing new schedule.
0 / 1000
Coaches' Contact Information (i.e. Parent/Guardian, Probation Officer, etc.)
How did you learn about Bridge?required