Idaho Application - Venture Upward

Parent Name*

First Last

Phone*

Email*

Student Name*

First Last

Age warning 1*

This student is at least five years old as of Sept 1, 2024

All students must be at least five years old to participate in the Venture Upward program.

Grade level as of September 1, 2024*

Birthday*

Gender*

Male
Female

For records purposes, which school is your child transferring from?*

Is your student currently on an IEP?*

Yes
No

IEP Categories

Does your student currently have a 504 plan?*

Yes
No

If no, do you have any current concerns about your student's learning, behavior, physical, or emotional needs that you would like to discuss with a member of our special education team?

Add Another 2

Add Another Student

Second Student Name*

First Last

Age warning 2*

This student is at least five years old as of Sept 1, 2024

All students must be at least five years old to participate in the Venture Upward program.

Grade level as of September 1, 2024*

Birthday*

Gender*

Male
Female

For records purposes, which school is your child transferring from?*

Is your student currently on an IEP?*

Yes
No

IEP Categories

Does your student currently have a 504 plan?*

Yes
No

If no, do you have any current concerns about your student's learning, behavior, physical, or emotional needs that you would like to discuss with a member of our special education team?

Add Another 3

Add Another Student

Third Student Name*

First Last

Age warning 3*

This student is at least five years old as of Sept 1, 2024

All students must be at least five years old to participate in the Venture Upward program.

Grade level as of September 1, 2024*

Birthday*

Gender*

Male
Female

For records purposes, which school is your child transferring from?*

Is your student currently on an IEP?*

Yes
No

IEP Categories

Does your student currently have a 504 plan?*

Yes
No

If no, do you have any current concerns about your student's learning, behavior, physical, or emotional needs that you would like to discuss with a member of our special education team?

Add Another 4

Add Another Student

Fourth Student Name*

First Last

Age warning 4*

This student is at least five years old as of Sept 1, 2024

All students must be at least five years old to participate in the Venture Upward program.

Grade level as of September 1, 2024*

Birthday*

Gender*

Male
Female

For records purposes, which school is your child transferring from?*

Is your student currently on an IEP?*

Yes
No

IEP Categories

Does your student currently have a 504 plan?*

Yes
No

If no, do you have any current concerns about your student's learning, behavior, physical, or emotional needs that you would like to discuss with a member of our special education team?

Add Another 5

Add Another Student

Fifth Student Name*

First Last

Age warning 5*

This student is at least five years old as of Sept 1, 2024

All students must be at least five years old to participate in the Venture Upward program.

Grade level as of September 1, 2024*

Birthday*

Gender*

Male
Female

For records purposes, which school is your child transferring from?*

Is your student currently on an IEP?*

Yes
No

IEP Categories

Does your student currently have a 504 plan?*

Yes
No

If no, do you have any current concerns about your student's learning, behavior, physical, or emotional needs that you would like to discuss with a member of our special education team?

Note: Only five students can apply at a time. If you have more students, please fill the application out a second time.

Physical Address*

Street Address Address Line 2 City State ZIP Code

Mailing Address

Same as Physical Address

Emergency Contact Name*

Emergency Contact Phone*

Do you have any previous homeschooling experience?*

No
Yes

How many years have you been home educating?*

Additional Comments or Questions

How did you hear about us?*

Idaho Priority Registration Application