Innovation Lab High School Application for 2023-24

Innovation Lab High School Application for 2023-24

Space is limited.
If you are just interested in learning more about ILHS, but are not yet ready to apply:
- Web site: https://innovationlab.nsd.org/
- Email Principal Tiffany Rodriguez: trodriguez@nsd.org
- Phone: (425) 408-6205
By completing this form, you are applying for admittance to attend Innovation Lab High School for the 2023-24 school year.*

Yes, I agree
Lottery Number
Lottery Number
Student Information
Student's Name*

First NameLast NamePreferred Name
Student's District ID Number
If you do not know your student's ID Number, please leave this blank
Student's Birth Date*

MonthDayYear
Month-Day-Year
Student's Gender/Preferred Pronouns

FemaleMaleNon-SpecificOther
What grade are you applying for?

9th Grade10th Grade11the Grade12th Grade
Student's Primary Address*

Street Address

Street Address Line 2

CityState

Zip Code
Is the student a current resident of the Northshore School District*

YesNo
Current Middle School*

Canyon Park Middle SchoolKenmore Middle SchoolLeota Middle SchoolNorthshore Family PartnershipNorthshore Middle SchoolNorthshore NetworksNorthshore Virtual ProgramSkyview Middle SchoolTimbercrest Middle SchoolOut of DistrictPrivate SchoolHomeschool
Name of School*
Home Area High School*

Bothell High SchoolInglemoor High SchoolNorth Creek High SchoolWoodinville High SchoolOut of DistrictHomeschoolOther
Student’s Current Math Class *
i.e. Algebra 2, Math 8, Geometry
Does the student receive any of the following services? (Check all that apply)*

Special Education (IEP)504Multilingual Education (ELL)Highly CapableNone of the Above
Does your student have a sibling who already attends Innovation Lab High School?*

YesNo
Name of sibling who attends Innovation Lab*
Twins & Triplets
Does your student have a twin or triplet who is also applying?*

NoTwinTriplet
Twins and triplets will be treated as one applicant with one lottery number. Submitting this application will apply for all students.
Student #2
Student's Name*

First NameLast NamePreferred Name
Student's Gender/Preferred Pronouns*

FemaleMaleNon-SpecificOther
Does the student receive any of the following services?*

Special Education (IEP)504Multilingual Education (ELL)Highly CapableNone of the Above
Student's #2 Current Math Class*
Student #3
Student's Name*

First NameLast NamePreferred Name
Student's Gender/Preferred Pronouns*

FemaleMaleNon-SpecificOther
Does the student receive any of the following services?*

Special Education (IEP)504Multilingual Education (ELL)Highly CapableNone of the Above
Student's #3 Current Math Class
Parent/Guardian Information
Parent/Guardian #1*

First NameLast Name
Parent/Guardian #1 Email*
Parent/Guardian #1 Phone*
Parent/Guardian #2

First NameLast Name
Parent/Guardian #2 Email
Parent/Guardian #2 Phone
Feedback
How did you hear about Innovation Lab?*
Did a staff member at another school refer you?*

YesNo
If so, Who?
Why do you want to come to Innovation Lab High School? ( Student Response)*
Why do you want your student to come to Innovation Lab High School? (Parent/Guardian Response)
Innovation Lab High School is only accepting applications for students who will enter 9th grade in fall 2023.

My student is entering 9th grade in fall 2023
Should be Empty:

Innovation Lab High School Application for 2023-24

Student Information

Twins & Triplets

Student #2

Student #3

Parent/Guardian Information

Feedback