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 Download
Asthma Management Plan Download
CDC Heads Up Athlete Fact Sheet Download
CDC Heads Up Parent Fact Sheet Download
Diabetes Medical Management Plan Download
Healthcare Consent Form Download
Meningitis Parent Information Download
Prescription Medication Self-Administration Form Download
Seizure Action Plan Download
Sudden Cardiac Arrest Fact Sheet for Parents Download
Sudden Cardiac Arrest Fact Sheet for Students Download
Vaccination Requirements 2022-2023 Download
Vaccine Medical Exemption Form Download
Vaccine Religious Exemption Form Download
Student athletes: Please download and complete an IHSAA physical form and submit to the Burris Athletics Director Mr. Wlodarek ()
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 ProposalOnline
Textbook Request FormOnline

Parent Forms

Family Address Change FormOnline
Ball Gym Waiver for ParentsOnline

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 November 2021Download
Parent Permission Form for Dual Credit January 2021Download
BSU Class Registration Form for Indiana Academy Students November 2021Download
Online HS Course ProvidersDownload

Air Conditioner Forms

Student Request for Air Conditioner July 2021Download
Medical Verification for Air Conditioner July 2021Download

Attendance Form

Pre-Arranged Absence FormDownload

Card-Up Forms

Request for Level II Privileges January 2021Download
Request for Level III Privileges January 2021Download
Request for Level IV Privileges January 2021Download

Financial Aid Forms

Academy Residential Financial Aid PacketDownload
Academy Non-Residential (NECP) Fee StructureDownload
Financial Aid Fee Structure and Reimbursement InformationDownload

Residential Forms

Meal Pick-Up Form for Illness or Temporary Physical Issue January 2022Download

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 2022Download

Incident Report Forms

Bias Incident Report Form August 2021Download
Report Form for Bullying, Intimidation, and HarrassmentDownload

Other Forms

Bike Program Release WaiverDownload
Community Service Form August 2021Download
Educational Technology and Resources Collection Checkout FormDownload
Form F: Media Release FormDownload

Information Documents

Move-In ChecklistDownload
Research/Creative Projects Course PoliciesDownload
Resource InformationDownload
Wagoner Hall / Burris MapDownload

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

Interim Title IX Sexual Harassment Policy and Procedures January 2021Download
Indiana Academy Non-Discrimination and Anti-Harassment Procedure January 2021Download
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 ProcessDownload
Section 504 Referral ProcessDownload
Special Education Referral ProcessDownload

https://academy.bsu.edu/forms/