Potterville Public Schools
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FAQ's: Frequently Asked Questions
Interested in our Program?
Fill out this form and we will contact you within 2 business days!
Parent/Guardian Name
*
First
Last
Student's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student Resides With:
*
Both Parents
Mother
Father
Guardian
Other
Best Number to Contact You
*
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Email
*
What is the student's age?
*
14
15
16
17
18
19
20
If you are interested in learning more about our program, please fill out the form and we will contact you within 2 business days.
Is the student special education?
*
Yes
No
Not sure
Area of Special Education
*
Social/Emotional
Leaning Disability-Math
Learning Disability-Reading
Not sure
Other
Previous School
*
Reason for leaving previous school?
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