Renaissance V Waitlist Request
Great to see you’re interested in Renaissance V! To add you to our waitlist, we just need a bit of info. Fill out this quick form, and we’ll let you know as soon as a spot opens up.
Student Name
*
First Name
Middle Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student's grade level for the upcoming 2024-25 school year
*
Please Select
4
5
6
7
8
9
10
11
12
Student Gender
*
Male
Female
Student Race
*
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race
Current School
*
Streetddress
School Name
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Address (If different from student)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Guardian Phone Number (We will use this number to communicate about this enrollment request)
*
Please enter a valid phone number.
Parent/Guardian Email (We will use this email to communicate about this enrollment request)
*
example@example.com
Is there a pending disciplinary issue from current school?
*
Yes
No
Are there any attendance or truancy issues with your child and the current school?
Yes
No
Upload most current unofficial transcript here
*
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Does the student have an IEP? (If yes, please upload a copy below)
*
Yes, I will upload a copy below
No, my child does not have an IEP
Upload IEP here
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Does the student have a 504 plan? (If yes, please upload a copy below)
*
Yes, I will upload a copy below
No, my child does not have a 504 plan
Upload 504 Plan here
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What is the reason for requesting to attend Renaissance V?
*
How did you hear about Renaissance V?
*
Agreement with each of the following statements is required to process the enrollment.
*
I understand that my child may not be enrolled in any other school, public or private, while enrolled at Renaissance V.
I will assist my child, monitor progress, and communicate with school staff regularly.
I will ensure that my child submits assignments on time and does not become truant.
I understand that there are required state tests where in-person attendance is required.
I understand parents are required to provide internet access.
I understand that I am responsible for sending an unofficial transcript if one was not already uploaded.
Name of person completing form
*
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