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Parent/Student Forms + Policies
Medical Forms
The following list includes all of the required and optional medical forms, as well as information documents you may need.
Anaphylaxis Emergency Action Plan May 2023 | Download |
Asthma Management Plan May 2023 | Download |
CDC Heads Up Athlete Fact Sheet | Download |
CDC Heads Up Parent Fact Sheet | Download |
Diabetes Medical Management Plan May 2023 | Download |
Healthcare Consent Form May 2023 | Download |
Meningitis Parent Information | Download |
Prescription Medication Self-Administration Form May 2023 | Download |
Seizure Action Plan May 2023 | Download |
Sudden Cardiac Arrest Fact Sheet for Parents | Download |
Sudden Cardiac Arrest Fact Sheet for Students | Download |
Immunization Requirements 2023-2024 May 2023 | Download |
Vaccine Medical Exemption Form | Download |
Vaccine Religious Exemption Form | Download |
Student athletes: IHSAA Rule 3-10 requires that “Between April 1 and student’s first Practice in preparation for interschool athletic participation, the student shall have a physical examination by, or shall provide certification from, a physician holding an unlimited license to practice medicine, a nurse practitioner or a physician assistant, who shall clear the student for athletic participation using the current IHSAA Pre‐Participation Evaluation form.”
It is preferred that IASMH students complete their Sports Physical with their home provider.
The completed physical must be submitted through Burris Laboratory Final forms (burrislaboratory-in.finalforms.com). |
IHSAA Physical Form | Download |
Online Forms
The following forms can be filled out and submitted online.
All forms will open in a new tab or window.
Student Forms
Directed Study Proposal November 2024 | Online |
Textbook Request Form November 2024 | Online |
Parent Forms
Family Address Change Form November 2024 | Online |
Ball Gym Waiver for Parents | Online |
Printable Forms
Some of the following forms can be downloaded and printed out. Others can be downloaded, filled out, and submitted via email.
Academic Forms
Core Course Substitution Form May 2022 | Download |
Parent Permission Form for Dual Credit January 2021 | Download |
BSU Class Registration Form for Indiana Academy Students May 2023 | Download |
Online HS Course Providers | Download |
Internship Forms December 2023 | Download |
Air Conditioner Forms
Student Request for Air Conditioner July 2022 | Download |
Medical Verification for Air Conditioner July 2022 | Download |
Attendance Form
Pre-Arranged Absence Form June 2023 | Download |
Card-Up Forms
Request for Level II Privileges January 2024 | Download |
Request for Level II Privileges (1-Year Seniors)January 2024 | Download |
Request for Level II Privileges (International)January 2024 | Download |
Request for Level III Privileges January 2024 | Download |
Request for Level III Privileges (1-Year Seniors)January 2024 | Download |
Request for Level III Privileges (International)January 2024 | Download |
Request for Level IV Privileges January 2024 | Download |
Request for Level IV Privileges (1-Year Seniors)January 2024 | Download |
Request for Level IV Privileges (International)January 2024 | Download |
Financial Aid Forms
Academy Residential Financial Aid Packet November 2024 | Download |
NECP Forms
NECP Overnight Permission Form September 2023 | Download |
Residential Forms
Meal Pick-Up Form for Illness or Temporary Physical Issue January 2022 | Download |
Recognition Form
Students nominate any faculty, staff or administrator through this nomination form who is demonstrating intentional effort toward furthering education and/or programming around Diversity, Equity, and Inclusion in their classes or around the Academy.
Royalty Recognition Form March 2022 | Download |
Student Equity Council Open Forum
Parent Permission Form November 2022 | Download |
Incident Report Forms
Campus Climate Concern Report August 2024 | Online |
Report Form for Bullying, Intimidation, and Harrassment | Download |
Other Forms
Bike Program Release Waiver | Download |
Community Service Form June 2023 | Download |
Educational Technology and Resources Collection Checkout Form | Download |
Form F: Media Release Form | Download |
Student Handbook
Contains most of the rules and regulations for students of the Indiana Academy.
Download
Policies + Annual Announcements
The following documents contain important information regarding Indiana Academy policies and procedures. They are subject to change, but the most current versions will always be posted here.
Annual Asbestos Management Plan and Pesticide Notification Registry
An Asbestos Management Plan for The Indiana Academy is required by the Environmental Protection Agency under existing federal law. This plan is on file with the appropriate agencies. Federal Law requires that parents be notified that the plan is also on file at the Front Desk at Wagoner Hall and may be viewed by anyone who is interested.
Indiana Code (357 IAC 1-16.8) requires that parents, guardians, and staff be invited to be added to a pesticide notification registry on an annual basis. If you are interested in being added to our notification registry, please
contact Natalie Huggins at 765-285-8124, or stop by the Wagoner Hall front desk.
Other Policies
Title IX Sexual Harassment Policy and Procedures September 2024 | Download |
Indiana Academy Non-Discrimination and Anti-Harassment Procedure January 2021 | Download |
BSU University Schools Policy and Procedures on the Use of Restraint and Seclusion Nov. 2014 – New policy document for 2014-2015 regarding specialized disciplinary actions. | Download |
Academic Intervention Process | Download |
Section 504 Referral Process | Download |
Special Education Referral Process | Download |