Welcome to CLASS Academy! We are excited to have you and/or one of your students join our family! Below you will find several forms in two categories: PARENTS, and SCHOOL DISTRICTS.

For PARENTS:
If you would like to accelerate the intake process, please print and complete the forms listed under PARENTS & STUDENT FORMS. All forms will need to be completed by the parents prior to enrollment. No student can be admitted into the program with all of the necessary forms completed. If you are unable to print and complete these forms, we can walk you through them at the official intake meeting.

For SCHOOL DISTRICTS:
If you would like to accelerate the intake process, please print and complete the forms listed under SCHOOL DISTRICT FORMS. All forms will need to be completed by the parents and school districts prior to enrollment. No student can be admitted into the program without all forms completed. Please ensure you have completed the AEDY Referral Form as well. This form needs to be filled out in its entirety.

NOTE: As of April 1, 2016, the Commonwealth of Pennsylvania has issued a NEW AEDY Referral form. No students can be admitted into the CLASS Academy program if an old form is used; all students must come with the NEW AEDY Referral form. You can find this under Alternative Education for Disruptive Youth AEDY Referral Intake Form link.

If you have any questions about the forms, please feel free to contact Jeremy Angus at (724)869-2222 x230or by e-mail at j.angus@thepreventionnetwork.org.

 

Parent & Student Forms

P.1.1_Emergency Contact_Forms

P.2.6_Vandalism and or Destruction of Property_Forms

P.3.6_School Meal Application Agreement_Forms

P.4.6_Probation Officer CYS Caseworker Information_Forms

P.5.6_Photographic Waiver_Forms

P.6.6_Counseling Awarness_Forms

P.7.6_Vehicle Passenger Consent Waiver Release_Forms

P.8.6_Computer and Internet Usage_Forms

P.9.6_Personal Items Consent

Parent Behavior Checklist

One Call Now Form

Youth Self Report

Release of Records

SAP Parent Questionnaire

SAP Parent Consent

SAP Pre-Screen Form

Photographic Waiver Forms

School District Forms

Alternative Education for Disruptive Youth AEDY Referral Intake Form

M.1.1_Enrollment Information_Forms

M.2.2_Behavorial Goal_Forms

Manifest Determination Paperwork