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PLD OdysseyWare Registration
Counselors should complete this form for students who are completing a class on OdysseyWare. Counselors can also send to students to complete if desired.
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Last Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Student Cell Phone Number (Format: 555-555-5555)
*
Your answer
Text messaging allowed? (For monitoring counselor to contact for issues.)
*
Yes
No
Student Email (email that is checked regularly and often)
*
Your answer
Course(s) assigned in OW (student's counselor will assign course in OW)
*
Your answer
Credit Recovery or Initial Credit?
*
Credit Recovery
Initial Credit
If for initial credit, please give reason.
*
Your answer
Use of OW has been discussed and fully explained to students and parents. Student instructions have been mailed/given to student.
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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