Wapato Online Academy: 2026-27 School Year STUDENT INTEREST SURVEY

(Must be filled out as part of the enrollment process for WOA)

Question Title

1. Student Contact Information

Student Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

Question Title

2. Parent Contact Information

Parent Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

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3. What is your current school?

Simcoe

Camas

Adams

Satus

WMS

PACE

WHS

Other (please specify)

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4. Student Birthdate:

Please enter your birthdate MM/DD/YYYY

Date

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5. Student's Current Grade:

Question Title

6. Areas of Concern (parent or school)

Attendane

Discipline

Academic Performance

Other (please specify)

None of the above

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7. Current Special Accommodations:

Special Education

504

Health Impairment

Migrant

Homeless

Other (please specify)

None of the above

Question Title

8. Please tell us why you are interested in enrolling in the Wapato Public Schools Online Academy.

Question Title

9. How did you hear about the Wapato Public Schools Online Academy?

District website

Counselor

Friend

Other school personnel

Other (please specify)

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10. For which semester are you enrolling in the Wapato Public Schools Online Academy?

2025-26 Semester 1

2025-26 Semester 2

Question Title

11. Completing this survey does not guarantee placement in the online program.

I have read the above statement.

Wapato Online Academy: 2026-27 School Year STUDENT INTEREST SURVEY

Question Title

* 1. Student Contact Information

Question Title

* 2. Parent Contact Information

Question Title

* 3. What is your current school?

Question Title

* 4. Student Birthdate:

Question Title

* 5. Student's Current Grade:

Question Title

* 6. Areas of Concern (parent or school)

Question Title

* 7. Current Special Accommodations:

Question Title

* 8. Please tell us why you are interested in enrolling in the Wapato Public Schools Online Academy.

Question Title

* 9. How did you hear about the Wapato Public Schools Online Academy?

Question Title

* 10. For which semester are you enrolling in the Wapato Public Schools Online Academy?

Question Title

* 11. Completing this survey does not guarantee placement in the online program.

1. Student Contact Information

2. Parent Contact Information

3. What is your current school?

4. Student Birthdate:

5. Student's Current Grade:

6. Areas of Concern (parent or school)

7. Current Special Accommodations:

8. Please tell us why you are interested in enrolling in the Wapato Public Schools Online Academy.

9. How did you hear about the Wapato Public Schools Online Academy?

10. For which semester are you enrolling in the Wapato Public Schools Online Academy?

11. Completing this survey does not guarantee placement in the online program.