Survey

This form should be completed by the parent or guardian of the student interested in enrolling at Tustin Connect.

My student and I have met with the Tustin Connect principal or counselor and have been approved to enroll. *

Yes No

Parent/Guardian Name *

First

Last

Student Background

What is the primary reason that you are interested in enrolling your student at Tustin Connect? *

My student learns best in a self-paced and independent learning environment. My student needs flexibility for employment or another outside pursuit (athletics, dancing, acting, etc.). My student has a desire to accelerate his/her education. My student has an illness or medical condition that makes it difficult to attend school daily. My student is currently experiencing school anxiety or other social/emotional challenges. Other

Please select the choice that best describes your student. *

My student does not have an IEP or 504 plan. My student has an IEP (Individualized Education Plan). My student has a 504 Plan.

Please select the choice that best describes your student. *

My student currently has a part-time job. My student is interested in getting a part-time job. My students does not have a job and is not interested in a part-time job at this time.

Dual Enrollment

What is your home school of residence? *

Beckman High School Foothill High School Tustin High School Other- Out of District

Does your student plan to take 1-2 courses at your high school of residence (FHS, BHS, or THS)? *

Yes No Unsure

If your student plans on dual-enrollment at your high school of residence, please list the course(s) below that you will request. *

School Expectations

Students are required to learn and work independently for 5+ hours a day on the computer to complete all of their assignments to stay on track for graduation. In addition, students must attend weekly appointments with their teacher. *

I am confident that my student will be successful in fulfilling this requirement. I am hesitant or unsure that my student will be successful in fulfilling this requirement. I do not believe that my student will be successful in fulfilling this requirement.

Other Information

My student and I (parent/guardian) understand that Tustin Connect students are only eligible to transfer back to a comprehensive high school at the start of a new semester. In addition, to transfer back to a comprehensive high school, students must be on track for graduation with the requisite courses and credits. *

I understand the requirements and limitations listed above regarding transferring back to a comprehensive high school.

Is there anything else that you would like our staff to know about your student to ensure a successful transition? *

By entering my name (parent/guardian) in the box below and clicking on "submit", I acknowledge that the information entered on this form is accurate and that I intend to enroll my student at Tustin Connect. *

Intent to Enroll Survey: Tustin Connect High School

Student Background

Dual Enrollment

School Expectations

Other Information