Student Registration Form
Fill out the form carefully for registration.
Student Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
Please select a month
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Month
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Day
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2024
2023
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Year
Grade (Indicate the grade student will enter in the fall of 2021)
*
Student E-mail (Parents are copied on all correspondence).
*
example@example.com
Parent Name
*
First Name
Last Name
Parent Phone
*
Parent Email
*
example@example.com
What are the student's interests? Include hobbies, sports, and extracurricular activities.
*
What is the student's greatest academic strength? Please explain.
*
What is the student's greatest academic challenge? Please explain.
*
Has the student previously participated in an online class? If yes, please describe the class and the student's experience.
*
Does the student have previous experience with IEW? If yes, please describe the class and/or list the IEW materials used.
*
Does the student have a diagnosed language-based learning challenge? If yes, please explain.
*
Does the student have an IEP or require any special accommodations during class to be successful? If yes, please explain.
*
Language Headquarters uses email as its primary means of communication with parents and students. As such, parents and students are expected to regularly check and respond to email initiated by Language Headquarters.
*
I understand and agree.
Language Headquarters partners with parents to ennoble their student's success in Language Arts/English. As such, parents commit to: ensuring their student's materials are set-up, organized, and accessible in a timely manner; checking weekly on their student's progress to ensure that all assignments are completed to the best of the student's ability and properly uploaded to their Google folders; and notifying Mrs. McClelland 24 hours prior to class via email if their student's assignments will be late or the student will be absent from class.
*
I understand and agree.
In the event that a student develops a pattern of submitting late assignments without a parent's email notification, Language Headquarters reserves the right to restrict the student's access to class and its materials.
*
I understand and agree.
2021-2022 Tutorials
*
Please Select
Medieval History-Based Language Arts
Modern History-Based Language Arts
American History-Based language Arts
Write Well SOLUTIONS 1.0: American Literature
Student Writing Sample: Please upload a recent sample of the student's writing.
*
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