Part Time (Tuition Payer) 2020-2021
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COA Part-Time (Tuition Payer) Enrollment Form
Part Time (Tuition Payer) Enrollment Form Use this enrollment form if you are enrolled in MORE than 6 classes at a CUSD brick and mortar, or you are applying to retake a class for grade improvement. Also, use this enrollment form if you are NOT enrolled within the Chandler Unified School District. *Please note that the course end date for any courses selected at this time will be May 7, 2021 for 12th graders and May 21, 2021 for all 7-11th graders.
1. I understand that the course/s that I select will begin when the course becomes available. Once there is availability in a class I will be notified via email with further instruction. In order to start a course the following requirements need to be complete. 1. Part Time application to be completed by 12:00 pm Friday(or Thursday if Friday is a holiday) prior to the desired start date. 2. Proof of residency emailed to sanchez.gardenia@cusd80.com no later than Friday at 12pm (or Thursday if Friday is a holiday). 3. The $160 fee for each requested course will need to be paid no later than Friday at 12pm (or Thursday if Friday is a holiday). Please be aware that some courses may not be available to start right away so you may be placed on a waiting list until there is an opening. Part time applications cannot be honored until all requirements are met and courses become available.
*
1. I understand that the course/s that I select will begin when the course becomes available. Once there is availability in a class I will be notified via email with further instruction. In order to start a course the following requirements need to be complete. 1. Part Time application to be completed by 12:00 pm Friday(or Thursday if Friday is a holiday) prior to the desired start date. 2. Proof of residency emailed to sanchez.gardenia@cusd80.com no later than Friday at 12pm (or Thursday if Friday is a holiday). 3. The $160 fee for each requested course will need to be paid no later than Friday at 12pm (or Thursday if Friday is a holiday). Please be aware that some courses may not be available to start right away so you may be placed on a waiting list until there is an opening. Part time applications cannot be honored until all requirements are met and courses become available.
*
Yes, I understand
No, I don't understand
2. LAST Name
*
Student LEGAL LAST Name
3. First Name
*
Student LEGAL FIRST Name
4. Grade
*
20-21 School Year Grade Level
--Please Select--
7th
8th
9th
10th
11th
12th
5. Student School ID#
*
Enter your Chandler Unified School Student ID #. Enter 0 if you do not attend a Chandler Unified School.
6. Student District Email Address (if CUSD student) or Personal Email if not CUSD student
*
7. Student Gender
*
--Please Select--
Female
Male
8. Student Date of Birth (mm/dd/yyyy)
*
mm/dd/yyyy
9. Student Phone number
*
This is the contact number the teachers and school staff will use to communicate important information to the student. Include area code (i.e. 480-, 602-, etc.).
10. Student State of birth:
*
11. Ethnicity: Hispanic or Latino?
*
11. Ethnicity: Hispanic or Latino?
*
Yes
No
12. Primary School
*
Primary School the student attends other than Chandler Online Academy?
12. Primary School
*
Primary School the student attends other than Chandler Online Academy?
BHS Basha High
CCHS Casteel High
CEC Chandler Early College High
CHS Chandler High
HHS Hamilton High
Hill Chief Hill Learning Academy
PHS Perry High
AJHS Anderson Jr. High
BJHS Bogle Jr. High
PJHS Payne Jr. High
SJHS Santan Jr. High
WJHS Willis Jr. High
ACP-Erie Arizona College Prep
ACP- Oakland Arizona College Prep
EPA Elite Perfomance Academy
Basha Accelerated Middle
COA Chandler Online Academy
NON CUSD SCHOOL NAME
13. Please provide the name of your school counselor.
*
13. Please provide the name of your school counselor.
*
Spilsbury.Nancy@cusd80.com (Basha High/AMS) Alpha A-Cla
Perry.Christopher@cusd80.com (Basha High/AMS) Alpha Cle-Gra
Snyder.Brian@cusd80.com (Basha High/AMS) Alpha Gre-Le
Dillon.Megan@cusd80.com (Basha High/AMS) Alpha Li-O
Smith.Scott@cusd80.com (Basha HighAMS) Alpha P-Sm
Thompson.Rebecca@cusd80.com (Basha High/AMS) Alpha Sn-Z
Glascom.Elizabeth@cusd80.com (Casteel) 7th-8th Alpha A-Ki
Cunico.Christy@cusd80.com (Casteel) 7th-8th Alpha Kl-Z
Haraway.Brittany@cusd80.com (Casteel) 9th-12th Alpha A-Dav
Johnson.Jennifer@cusd80.com (Casteel) 9th-12th Alpha A-Dav
OBrien.Rachel@cusd80.com (Casteel) 9th-12th Alpha Hol-Mik
Shropshire.Carrie@cusd80.com (Casteel) 9th -12th Alpha Mil-Sch
Burt.Jessica@cusd80.com (Casteel) 9th-12th Alpha Sco-Z
Nelson.Violet@cusd80.com (Chandler High) 9th A-Le
Harvey.Alisha@cusd80.com (Chandler High) 10-12th A-Cur)
Russell.Brandon@cusd80.com (Chandler High) 9th Lea-Z
Lipinski.Crystal@cusd80.com (Chandler High) 10-12th Hoa-Min
Freeman.Duane@cusd80.com (Chandler High) 10-12th Dah-Hix
Anaya.Rosalina@cusd80.com (Chandler High) 10-12th Ruef-Z
Liversedge.Rosemary@cusd80.com (Chandler High) 10-12th Mink-Rue
Maluski.Mike@cusd80.com (Hamilton High) Alpha A-Brom
Harris.Taylor@cusd80.com (Hamilton High) Alpha Broo-Dash
JimenezTrujillo.Margarita@cusd80.com (Hamilton High) Alpha Dau-Gen
Celaya.Rachel@cusd80.com (Hamilton High) Alpha Geo-Huss
Furrow.Amy@cusd80.com (Hamilton High) Alpha Huy-Lev
Anaya.Jessica@cusd80.com (Hamilton High) Alpha Lew-Moh
Spykstra.Steve@cusd80.com (Hamilton High) Alpha Moi-Pham
Tietjen.Amanda@cusd80.com (Hamilton High) Alpha Phan-Seaw
Lacerenza.Shana@cusd80.com (Hamiton High) Alpha Seb-Tup
Kanner.Steve@cusd80.com (Hamilton High) Alpha Tur-Z
Uyeshiro.Scott@cusd80.com (Perry High) Alpha FIH-HUF
JaramilloMack.Geraldine@cusd80.com (Perry High) Alpha MART-PARK
Mann.Fred@cusd80.com (Perry High) STEM WIL-Z
Cagle.Holli@cusd80.com (Perry High) Alpha A-CARL
Gena.Nicole@cusd80.com (Perry High) Alpha CARM-FIG
Gregg.Kirstin@cusd80.com (Perry High) Alpha HUG-MARS
Nold.Mark@cusd80.com (Perry High) Alpha PARL-SEK
Mahon.Tracey@cusd80.com (Perry High) Alpha SEL-WIK
Upchurch.Jennifer@cusd80.com (Andersen Jr.) 78h Grade
Smith.Anne@cusd80.com (Andersen Jr.) 7th Grade
Mochel.Kari@cusd80.com (Bogle Jr.)
Pillar.Stacy@cusd80.com (Bogle Jr.) 8th Grade
Valentine.Torri@cusd80.com (Bogle Jr.) 7th Grade
Holan.Melanie@cusd80.com (Payne Jr.) 7th Grade
Brown.Lisa@cusd80.com (Payne Jr.)
Smith.Aimee@cusd80.com (Payne Jr.) 8th grade
Edwards.Melissa@cusd80.com (Santan Jr.) all requests go to Ms. Edwards
FalconMurray.Maria@cusd80.com (Willis Jr.) 7th Grade
Chapin.Michele@cusd80.com (Willis Jr.) 8th Grade
Vitton.Martha@cusd80.com (ACP-Erie) A-La
Vezzosi.Michael@cusd80.com (ACP-Erie) Le-z
Ortiz.Tyra@cusd80.com (ACP-Oakland) 8th Grade
ODonnal.Margot@cusd80.com (ACP-Oakland) 7th Grade
ColleaAnderson.Maria@cusd80.com (Hill Academy)
Swope.Michelle@cusd80.com (Hill @ ICAN Academy)
Tanner.Julie@cusd80.com (Hill Academy)
Daley.Gretchen@cusd80.com (CEC)
Shuey.Stephanie@cusd80.com (EPA)
Other, please specify
14. Select the description that most accurately describes your predominant lineage (race):
*
--Please Select--
White
Asian
Black
African American
American Indian
Alaskan Native
Native Hawaiian
Other Pacific Islander
Other Unlisted
15. What is the primary language spoken in the home regardless of the language spoken by the student?
*
--Please Select--
English
Spanish
Arabic
Cambodian
Cantonese
Czechoslovakian
Dutch
Filipino
Finnish
French
German
Greek
Hebrew
Hungarian
Italian
Japanese
Korean
Laotian
Mandarin
Polish
Portuguese
Romanian
Russian
Thai
Ukrainian
Vietnamese
Serbo-Croatian
Other Non-Indian
Navajo
Apache (San Carlos)
Apache (White River)
Chemehuevi
Cocopah
Hopi
Haulapai
Kaibab-Paiute
Maricopa
Mohave
Papago
Pima
Supai
Tewa
Yaqui
Yavapai
Yuma
Other Indian
Other Unlisted
16. What is the language most often spoken by the student?
*
--Please Select--
English
Spanish
Arabic
Cambodian
Cantonese
Czechoslovakian
Dutch
Filipino
Finnish
French
German
Greek
Hebrew
Hungarian
Italian
Japanese
Korean
Laotian
Mandarin
Polish
Portuguese
Romanian
Russian
Thai
Ukrainian
Vietnamese
Serbo-Croatian
Other Non-Indian
Navajo
Apache (San Carlos)
Apache (White River)
Chemehuevi
Cocopah
Hopi
Haulapai
Kaibab-Paiute
Maricopa
Mohave
Papago
Pima
Supai
Tewa
Yaqui
Yavapai
Yuma
Other Indian
Other Unlisted
17. What is the language that the student first acquired?
*
--Please Select--
English
Spanish
Arabic
Cambodian
Cantonese
Czechoslovakian
Dutch
Filipino
Finnish
French
German
Greek
Hebrew
Hungarian
Italian
Japanese
Korean
Laotian
Mandarin
Polish
Portuguese
Romanian
Russian
Thai
Ukrainian
Vietnamese
Serbo-Croatian
Other Non-Indian
Navajo
Apache (San Carlos)
Apache (White River)
Chemehuevi
Cocopah
Hopi
Haulapai
Kaibab-Paiute
Maricopa
Mohave
Papago
Pima
Supai
Tewa
Yaqui
Yavapai
Yuma
Other Indian
Other Unlisted
18. Student home address:
*
Include house/apt./unit number, street orientation and name (i.e. 500 W. Galveston st.):
19. City
*
20. State
*
21. Zip Code
*
Parent/Guardian Information
22. Primary Parent/Guardian
*
FIRST NAME of Primary Parent/Guardian living with student
23. Primary Parent/Guardian
*
LAST NAME of Primary Parent/Guardian living with student?
24. Primary Parent/Guardian Phone number (EXAMPLE 480 555-5555)
*
PHONE NUMBER for the PRIMARY PARENT that can used to communicate important information. Include the area code. (EXAMPLE 480 555-5555)
25. Primary Parent/Guardian Email Address
*
EMAIL ADDRESS for PRIMARY PARENT/GUARDIAN. If the parent does not have an email address, he/she will need to establish one and then return to complete this application. Visit the "Technology-System Requirements" section of the website for help setting up an email account.
26. Relationship to the student:
Primary PARENT/GUARDIAN relationship to the student:
26. Relationship to the student:
Primary PARENT/GUARDIAN relationship to the student:
Mother
Father
Foster-Mother
Foster-Father
Guardian
Other, please specify
27. Additional Parent/Guardian FIRST NAME
FIRST NAME of Additional PARENT/GUARDIAN living with student
28. Additional Parent/Guardian LAST NAME
LAST NAME of Additional PARENT/GUARDIAN living with student?
29. Additional Parent/Guardian Phone number (EXAMPLE 480 555-5555)
PHONE NUMBER for the Additional PARENT/GUARDIAN that can used to communicate important information. Include the area code. (EXAMPLE 480 555-5555)
30. Additional Parent/Guardian Email Address
EMAIL ADDRESS for Additional PARENT/GUARDIAN. If the parent does not have an email address, he/she will need to establish one and then return to complete this application. Visit the "Technology-System Requirements" section of the website for help setting up an email account.
31. Relationship to the student:
Additional PARENT/GUARDIAN relationship to the student:
31. Relationship to the student:
Additional PARENT/GUARDIAN relationship to the student:
Mother
Father
Foster-Mother
Foster-Father
Guardian
Other, please specify
32. Are there any concerns regarding the custody of this student?
*
If you respond "yes" to this question, provide official court documents to our office to complete the enrollment application.
32. Are there any concerns regarding the custody of this student?
*
If you respond "yes" to this question, provide official court documents to our office to complete the enrollment application.
YES
NO
I DON'T WISH TO PROVIDE INFORMATION
Home School Information
33. Name of student's PRIMARY school district
*
33. Name of student's PRIMARY school district
*
CUSD Chandler Unified School District
Other, please specify
34. NON CUSD primary school address
*
34. NON CUSD primary school address
*
I attend a CUSD School
NON CUSD SCHOOL MAILING ADDRESS (NAME, ADDRESS, CITY AND ZIP CODE)
35. ENGLISH
Which ENGLISH course would you like to take? (NO EXTENSIONS will be given)!
(Until the end of the semester)
(JR HIGH) LANGUAGE ARTS 7 S1 ENG700A
(JR HIGH) LANGUAGE ARTS 7 S2 ENG700B
(JR HIGH) HONORS LANGUAGE ARTS 7 S1 ENG705A
(JR HIGH) HONORS LANGUAGE ARTS 7 S2 ENG705B
(JR HIGH) LANGUAGE ARTS 8 S1 ENG800A
(JR HIGH) LANGUAGE ARTS 8 S2 ENG800B
(JR HIGH) HONORS LANGUAGE ARTS 8 S1 ENG805A
(JR HIGH) HONORS LANGUAGE ARTS 8 S2 ENG805B
ENGLISH 9 S1 ENG100A
ENGLISH 9 S2 ENG100B
HON ENGLISH 9 S1 ENG105A
HON ENGLISH 9 S2 ENG105B
ENGLISH 10 S1 ENG200A
ENGLISH 10 S2 ENG200B
HONORS ENGLISH 10 S1 ENG205A
HONORS ENGLISH 10 S2 ENG205B
ENGLISH 11 S1 ENG300A
ENGLISH 11 S2 ENG300B
AP ENGLISH LANGUAGE & COMP S1 ENG305A - Grade replacement or credit recovery only
AP ENGLISH LANGUAGE & COMP S2 ENG305B -Grade replacement or credit recovery only
ENGLISH 12 S1 ENG400A
ENGLISH 12 S2 ENG400B
AP ENGLISH LIT & COMP S1 ENG405A - Grade replacement or credit recovery only
AP ENGLISH LIT & COMP S2 ENG405B -Grade replacement or credit recovery only
HONORS SCIENCE AND TECHNICAL WRITING S2 ENG415B
36. MATH
Which MATH course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH) MATH 7 S1 MAT700A
(JR HIGH) MATH 7 S2 MAT700B
(JR HIGH) MATH 8 S1 MAT800A
(JR HIGH) MATH 8 S2 MAT800B
(JR HIGH) HONORS MATH 7 S1 MAT800A
(JR HIGH) HONORS MATH 7 S2 MAT800B
(JR HIGH) HONORS MATH 8 S1 MAT100A
(JR HIGH) HONORS MATH 8 S2 MAT100B
ALGEBRA (1) S1 MAT100A
ALGEBRA (1) S2 MAT100B
GEOMETRY S1 MAT200A
GEOMETRY S2 MAT200B
HONORS GEOMETRY S1 MAT205A
HONORS GEOMETRY S2 MAT205B
ALGEBRA 2 S1 MAT300A
ALGEBRA 2 S2 MAT300B
HONORS ALGEBRA (2) S1 MAT305A
HONORS ALGEBRA (2) S2 MAT305B
INTEREST THEORY S1 MAT350A
INTEREST THEORY S2 MAT350B
INTEREST THEORY ADVANCED ALGEBRA S1 MAT350A
INTEREST THEORY ADVANCED ALGEBRA S2 MAT350B
COLLEGE ALGEBRA S1 MAT340A
COLLEGE ALGEBRA S2 MAT340B
AP CALC AB S1 MAT435A + E-Book - Grade replacement or credit recovery only
AP CALC AB S2 MAT435B + E-Book - Grade replacement or credit recovery only
AP CALC BC S1 MAT445A + E-Book - Grade replacement or credit recovery only
AP CALC BC S2 MAT445B + E-Book - Grade replacement or credit recovery only
MULTIVARIABLE CALCULUS AND DIFFERENTIAL EQUATIONS S2 MAT475B
LINEAR ALGEBRA AND ADVANCED MATH TOPICS S2 MAT485B
37. SCIENCE
Which SCIENCE course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH) INTEGRATED SCIENCE 7 S1 SCI700A
(JR HIGH) INTEGRATED SCIENCE 7 S2 SCI700B
(JR HIGH) INTEGRATED SCIENCE 8 S1 SCI800A
(JR HIGH) INTEGRATED SCIENCE 8 S2 SCI800B
INVESTIGATIVE SCIENCE S1 SCI100A
INVESTIGATIVE SCIENCE S2 SCI100B
BIOLOGY S1 SCI200A
BIOLOGY S2 SCI200B
HONORS BIOLOGY S1 SCI205A
HONORS BIOLOGY S2 SCI205B
AP BIOLOGY S1 SCI215A + E-Book - Grade replacement or credit recovery only
AP BIOLOGY S2 SCI215B + E-Book - Grade replacement or credit recovery only
CHEMISTRY S1 SCI300A
CHEMISTRY S2 SCI300B
HONORS CHEMISTRY S1 SCI305A
HONORS CHEMISTRY S2 SCI305B
AP CHEMISTRY S2 SCI315B
AP ENVIRONMENTAL SCIENCE S1 SCI325A
AP ENVIRONMENTAL SCIENCE S2 SCI325B
PHYSICS S1 SCI400A
AP PHYSICS 1 S2 SCI425B (PRE-REQ ALGEBRA 2 AND BIOLOGY)
ANATOMY & PHYSIOLOGY S1 SCI460A (PRE-REQ BIOLOGY AND CHEMISTRY)
ANATOMY & PHYSIOLOGY S2 SCI460B (PRE-REQ BIOLOGY AND CHEMISTRY)
AP PHYSICS C: MECHANICS S2 SCI415B (PRE-REQ PHYSICS AND PRE-CALC)
38. SOCIAL STUDIES
Which SOCIAL STUDIES course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH) SOCIAL STUDIES 7 S1 SOC700A
(JR HIGH) SOCIAL STUDIES 7 S2 SOC700B
(JR HIGH) HONORS SOCIAL STUDIES 7 S1 SOC705A
(JR HIGH) HONORS SOCIAL STUDIES 7 S2 SOC705B
(JR HIGH) SOCIAL STUDIES 8 S1 SOC800A
(JR HIGH) SOCIAL STUDIES 8 S2 SOC800B
(JR HGIH) HONORS SOCIAL STUDIES S1 SOC805A
(JR HIGH) HONORS SOCIAL STUDIES S2 SOC805B
WORLD HISTORY & GEO S1 SOC100A
WORLD HISTORY & GEO S2 SOC100B
HONORS WORLD HISTORY & GEO S1 SOC105A
HONORS WORLD HISTORY & GEO S2 SOC105B
AP WORLD HISTORY/GEOGRAPHY S1 SOC115A + E-Book - Grade replacement or credit recovery only
AP WORLD HISTORY/GEOGRAPHY S2 SOC115B + E-Book - Grade replacement or credit recovery only
AMERICAN/AZ HISTORY S1 SOC300A
AMERICAN/AZ HISTORY S2 SOC300B
AP AMERICAN/AZ HISTORY S1 SOC305A + E-Book Grade replacement or credit recovery only
AP AMERICAN/AZ HISTORY S2 SOC305B + E-Book Grade replacement or credit recovery only
AMERICAN GOVERNMENT SOC400A
AP AMERICAN GOVERNMENT SOC405 + E-Book-Grade replacement or credit recovery only
ECONOMICS SOC420
AP MACROECONOMICS SOC425A - Grade replacement or credit recovery only
39. WORLD LANGUAGE
Which WORLD LANGUAGE course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH) SPANISH BEGINNING S1 SPA701A
(JR HIGH) SPANISH BEGINNING S2 SPA701B
(JR HIGH) SPANISH INTERMEDIATE S1 SPA702A
(JR HIGH) SPANISH INTERMEDIATE S2 SPA702B
SPANISH 1 S1 SPA100A
SPANISH 1 S2 SPA100B
SPANISH 2 S1 SPA200A
SPANISH 2 S2 SPA200B
HONORS SPANISH 3 S1 SPA305A
HONORS SPANISH 3 S2 SPA305B
AP SPANISH LANGUAGE AND CULTURE (YEAR 4) S1 SPA405A + E Book
AP SPANISH LANGUAGE AND CULTURE (YEAR 4) S2 SPA405B + E Book
FRENCH 1 S1 FRE100A
FRENCH 1 S2 FRE100B
FRENCH 2 S1 FRE200A
FRENCH 2 S2 FRE200B
HONORS FRENCH 3 S2 FRE305B
MANDARIN CHINESE 1 S1 CHI100A
MANDARIN CHINESE 1 S2 CHI100B
MANDARIN CHINESE 2 S1 CHI200A
MANDARIN CHINESE 2 S2 CHI200B
HONORS MANDARIN CHINESE 3 S1 CHI305A
HONORS MANDARIN CHINESE 3 S2 CHI305B
40. HEALTH AND PHYSICAL EDUCATION
Which ELECTIVES course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH .5 credit) PHYS ED 7 PED700
(JR HIGH .5 credit) PHYS ED 8 PED800
COMPREHENSIVE HEALTH PED220
41. ELECTIVES - Junior High Electives are labeled JR HIGH, all other are only available to 9-12th graders.
Which ELECTIVES course would you like to take? NO EXTENSIONS will be given!
(Until the end of the semester)
(JR HIGH) DIGITAL PHOTOGRAPHY: DRAWING WITH LIGHT S1 PHO700A
(JR HIGH) DIGITAL PHOTOGRAPHY: DRAWING WITH LIGHT S2 PHO700B
(JR HIGH) CAREER EXPLORATION 1 S1 ELE750A
(JR HIGH) CAREER EXPLORATION 1 S2 ELE750B
(JR HIGH) CAREER EXPLORATION 2 S1 ELE760A
(JR HIGH) CAREER EXPLORATION 2 S2 ELE760B
(JR HIGH) JOURNALISM S1 ELE770A
(JR HIGH) JOURNALISM S2 ELE770B
DIGITAL PHOTOGRAPHY (2) S1 DPH200A
DIGITAL PHOTOGRAPHY (2) S2 DPH200B
MUSIC APPRECIATION S1 ELE106A
MUSIC APPRECIATION S2 ELE106B
CREATIVE WRITING S1 ENE200A
CREATIVE WRITING S2 ENE200B
ENTREPRENEURSHIP S1 MRK320A
ENTREPRENEURSHIP S2 MRK320B
HEALTH SCIENCES S1 PED160A (does not meet Comp Health graduation requirement)
HEALTH SCIENCES S2 PED160B (does not meet Comp Health graduation requirement)
AP HUMAN GEO S1 SSE205A - Grade replacement or credit recovery only
AP HUMAN GEO S2 SSE205B - Grade replacement or credit recovery only