Enrolling for the 2013-2013 School Year (855) 775-9323
Gorman Learning Center
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Referral

For additional enrollment information, please complete and submit the form below. This information will be passed on to an Independent Study Teacher (IST) who will contact you to set up an appointment.

Please do not withdraw your child from their current school until you are actively enrolled in our program.

Parent or Guardian Contact Information:







Student Information:










Miscellaneous:

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(If your child has received any special education services, please fax a copy of your child’s IEP to (909) 793-5964 attention Donna Swaynie)