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 2023Download
Asthma Management Plan May 2023Download
CDC Heads Up Athlete Fact SheetDownload
CDC Heads Up Parent Fact SheetDownload
Diabetes Medical Management Plan May 2023Download
Healthcare Consent Form May 2023Download
Meningitis Parent InformationDownload
Prescription Medication Self-Administration Form May 2023Download
Seizure Action Plan May 2023Download
Sudden Cardiac Arrest Fact Sheet for ParentsDownload
Sudden Cardiac Arrest Fact Sheet for StudentsDownload
Immunization Requirements 2023-2024 May 2023Download
Vaccine Medical Exemption FormDownload
Vaccine Religious Exemption FormDownload
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 (
IHSAA Physical FormDownload

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 Online
Textbook Request Form Online

Parent Forms

Family Address Change Form 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 2022Download
Parent Permission Form for Dual Credit January 2021Download
BSU Class Registration Form for Indiana Academy Students May 2023Download
Online HS Course ProvidersDownload
Internship Forms December 2023Download

Air Conditioner Forms

Student Request for Air Conditioner July 2022Download
Medical Verification for Air Conditioner July 2022Download

Attendance Form

Pre-Arranged Absence Form June 2023Download

Card-Up Forms

Request for Level II Privileges January 2024Download
Request for Level II Privileges (1-Year Seniors)January 2024Download
Request for Level II Privileges (International)January 2024Download
Request for Level III Privileges January 2024Download
Request for Level III Privileges (1-Year Seniors)January 2024Download
Request for Level III Privileges (International)January 2024Download
Request for Level IV Privileges January 2024Download
Request for Level IV Privileges (1-Year Seniors)January 2024Download
Request for Level IV Privileges (International)January 2024Download

Financial Aid Forms

Academy Residential Financial Aid Packet May 2023Download

NECP Forms

NECP Overnight Permission Form September 2023Download

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

Student Equity Council Open Forum

Parent Permission Form November 2022Download

Incident Report Forms

Campus Climate Concern Report February 2024 Online
Report Form for Bullying, Intimidation, and HarrassmentDownload

Other Forms

Bike Program Release WaiverDownload
Community Service Form June 2023Download
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.


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.
Academic Intervention ProcessDownload
Section 504 Referral ProcessDownload
Special Education Referral ProcessDownload