Contact – Franklin First Learning Academy

Step 1 of 4 - Parent/Guardian Contact Information

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Parent/Guardian Name(Required)

First Middle Last

Parent/Guardian Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Student Name(Required)

First Middle Last

Student Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Student Email(Required)

Student Phone(Required)

Choose a home school:(Required)

540 or IEP?(Required)

Yes

Add more children?

First Name

Last Name

Home School

540 or IEP?

I CAN USE THE COMPUTER AS A TOOL FOR LEARNING...

I can communicate using email(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I can use Microsoft Word as a writing tool(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I can search for and locate information on the internet(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I can participate in online chat rooms(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I POSSESS THE SKILLS NECESSARY TO BE A SUCCESSFUL CYBER STUDENT….

I can follow and respond to written directions easily(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I can use my time efficiently and submit my assignments on schedule(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am self-motivated, self-directed, and self-disciplined in regards to my studies(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I can work independently(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I AM READY TO MAKE A COMMITMENT TO CYBER EDUCATION

I am willing to spend 5.5 hours per weekday at my computer(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am willing to spend an additional 1-2 hours per week completing additional assignments(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am honest and can be trusted to do my own course work and assignments(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am responsible and will care properly for school-issued equipment(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am aware that my success as a Cyber student is my responsibility(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I am willing to contact Strong Mind Tech Support when needed(Required)

4 - Strongly Agree

3 - Agree

2 - Disagree

1 - Strongly Disagree

I have high-speed internet access in my home(Required)

Yes

Consent(Required)

I agree to the following:

● Complete the Franklin First Learning Academy enrollment and orientation process
● Contact the Franklin First Learning Academy Coordinator for support, as needed
● Notify the Franklin First Learning Academy Coordinator of any change in status
● Actively participate in all courses in which I am enrolled
● Complete all courses in which I am enrolled in their entirety within the specified time allotted.
● Complete all required statewide testing at specified Franklin Area School District building
● Be removed from Franklin First Learning Academy if found to be involved in any form of academic impropriety
● Acknowledge that failure to complete enrolled courses may result in truancy charges
● Return equipment within two weeks of completion of, or withdrawal from, First Learning Academy. Failure to do so may result in being required to pay for equipment

Interest Form

I CAN USE THE COMPUTER AS A TOOL FOR LEARNING...

I POSSESS THE SKILLS NECESSARY TO BE A SUCCESSFUL CYBER STUDENT….

I AM READY TO MAKE A COMMITMENT TO CYBER EDUCATION