Open Doors Enrollment

To apply to Open Doors please fill in the form below and click submit. For questions please email [email protected]

Release to Enroll in Open Doors Reengagement Program 2021-22

Open Doors Reengagement Program

Application to Enroll

Steps to enroll:

  1. Submit application
  2. Open Doors staff review student records
  3. Application is approved /denied/waitlisted
  4. Enrollment forms completed by family
  5. Intake meeting with student, family and Open Doors
  6. Intake assessment

Student Information

Full Name:
Birthdate:
Address:
City:
Zip:
Parent/Guardian Name(s):
Parent/Guardian Phone
Parent/Guardian Email:
Student Phone:
Current or last school
Curren to last school district
Location of Last School: City
State
Last year attended:
Last Grade attended:

Program information

Is the student currently suspended or expelled from a previous school?
Yes No
Is the student enrolled or has the student been previously been in Special Education?
Yes No
Has the student had a 504 Plan?
Yes No
Has that student ever had an IEP?
Yes No
Is the student currently on probation?
Yes No

Additional Information or special circumstances



It is understood that we as parents/guardians/adult student I 1). Will assume responsibility for adequate transportation and supervision to and from the Open Doors Program, and 2) Retain the right for the student to re-enroll in a traditional high school within the district per district guidelines, thus voiding this release. District guidelines state that once a student has been in the program for more than ten (10) days, they may not be eligible to enroll in a traditional CPSD program until the next semester window.
This form is an application in the CPSD Open Doors Youth Reengagement Program.
Program staff will review student records to determine eligibility, program fit to student needs, and availability of program seat.


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