Inquire About Off Campus

Welcome!  If you are interested in enrolling a student in the CKSD Off-Campus Program, or simply wish to learn details about the program, please fill out the form below in as much detail as possible and one of our consultants will contact you. 

For basic information, please write or call: Off Campus 360-662-2572.

Off Campus Inquiry Form
Date:Information Completed By:  Parent       Student
Student InformationName:Grade:Birth date:
Parent InformationParent Name:     
 Phone:                    
 E-mail Address:
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Resident School District

When was the student last in school, or where is the student attending ?

Has the student ever been home schooled? Yes  No
Does the student have an active IEP (Special Education)? Yes  No 
Have they had an IEP in the past?  Yes   No

When would you like to enroll?     ASAP    Next year 

How did you learn about Off Campus?

 

Reasons for considering the Off Campus Program?

 
Secondary students
(7th - 12th)
 
Are you interested in taking a few classes at your local secondary school?
 
Elementary students
(K - 8th)
Would you like to participate in Enrichment classes (grade level classes taught on Wednesdays, emphasizing social contact and group academic skills) or would you prefer a weekly meeting?
 
 

Who is the adult responsible for the student's education?

 

Who will supervise the student at home during the day?

 

Is your interest in Off Campus related to discipline?  If so, explain:

 
Other information: 


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