Summer School Registration Referral Information Please complete the following information Name of person making the referral(required) Phone(required) Email address(required) Relationship to the student being referred(required) School Counselor ESE Specialist School making the referral(required) Boyd H. Anderson High Atlantic Technical High Coconut Creek High College Academy @ BC Coral Glades High Coral Springs High Cooper City High Cypress Bay High Cypress Run Education Center Dave Thomas Education Center West Deerfield Beach High Marjory Stoneman Douglas High Blanche Ely High Everglades High Charles W. Flanagan High Fort Lauderdale High Hallandale High Henry D. Perry Education Center Hollywood Hills High Lanier-James Education McArthur High William T. McFatter Technical High Miramar High Monarch High Northeast High Nova High Piper High Plantation High Pompano Beach High Seagull School Sheridan Technical High South Broward High South Plantation High Stranahan High J.P. Taravella West Broward High Western High Whiddon Rogers Education Center Counselor/ESE Specialist Phone number(required) Phone Number(required) Student Information Student's First Name(required) Student's Last Name(required) Student's Telephone(required) Student's Email address(required) Student's Identification Number(required) Date of Birth(required) Grade(required) Course Information Select Course 1 English Math Science Social Studies Enter Course Title English I English II English III English IV Algebra | A Algebra | B Algebra I Algebra II Geometry Math for College Readiness Liberal Arts Math I Liberal Arts Math II Biology Chemistry Earth & Space Science Environmental Science Physical Science Economics with Final Literacy U.S. History U.S. Government World History Select Semester Needed 1st semester 2nd semester Both semesters Select Course Type Recovery First Impulse Select Course 2 English Math Science Social Studies Enter Course Title English I English II English III English IV Algebra | A Algebra | B Algebra I Algebra II Geometry Math for College Readiness Liberal Arts Math I Liberal Arts Math II Biology Chemistry Earth & Space Science Environmental Science Physical Science Economics with Final Literacy U.S. History U.S. Government World History Select Semester Needed 1st semester 2nd semester Both Select Course Type Recovery First Impulse Select Course 3 English Math Science Social Studies Enter Course Title English I English II English III English IV Algebra | A Algebra | B Algebra I Algebra II Geometry Math for College Readiness Liberal Arts Math I Liberal Arts Math II Biology Chemistry Earth & Space Science Environmental Science Physical Science Economics with Final Literacy U.S. History U.S. Government World History Select Semester Needed 1st semester 2nd semester Both Select Course Type Recovery First Impulse Select Course 4 English Math Science Social Studies Enter Course Title English I English II English III English IV Algebra | A Algebra | B Algebra I Algebra II Geometry Math for College Readiness Liberal Arts Math I Liberal Arts Math II Biology Chemistry Earth & Space Science Environmental Science Physical Science Economics with Final Literacy U.S. History U.S. Government World History Select Semester Needed 1st semester 2nd semester Both Select Course Type Recovery First Impulse Curriculum Type Odysseyware Pen/Paper (Athletes/ESE Students ONLY) Parent Contact Information Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian's Phone Parent/Guardian's Email address(required) Parent/Guardian's Address 1(required) Parent/Guardian's City(required) Parent/Guardian's State(required) Reason for Referral Overage for grade Not on track to graduate Poor attendance Seelect all that apply Are you human?(required) This field should be left blank Send Please wait...
