YOUTH INITIATIVE HIGH SCHOOL
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    Youth Initiative High School
    Boarding Student Application for Admission

    Student Health Information

    Insurance Information
    Youth Initiative High School requires all students with Health Insurance to submit proof of insurance with relevant contact information to YIHS staff.
    Local Emergency Contact Information ( if you do not have a host family yet, leave this blank):
    Health Information:
    We are required by law to keep all student's vaccination records on file.
    Domestic Boarding Students:
    Download, fill out, and return this required form before student arrives at YIHS.
    http://www.dhs.wisconsin.gov/forms/F0/F04020L.pdf
    International Boarding Students:
    After we receive your application, we will send you an immunization form.  This form must be filled out and returned before student can attend YIHS.
    I hereby give my consent for EMERGENCY MEDICAL CARE OR TREATMENT
Submit and Continue to Student Tuition Agreement
Copyright © 2023 Youth Initiative High School     |     500 E. Jefferson St, Viroqua WI 54665     |     (608) 637-6445 
  • Home
  • About
    • Welcome
    • Our Mission
    • Core Values
    • Our School
    • Our Faculty
    • Our Story
    • School Community
    • Where We Live
    • FAQ
    • Kaleidoscope Podcast
  • Boarding Program
  • Curriculum
    • Academics
    • Beyond Academics >
      • Expeditions
      • Senior Projects
      • Student Service
      • Sports
    • Initiative >
      • Evaluations
    • Life After YIHS >
      • College Acceptance
  • Admissions
    • How To Apply
    • Cost Of Education >
      • Fundraising
  • Contact Us
    • Job Opportunities
  • Support Our Work
    • Donate
    • Community Partnership Program
  • News & Events
    • Upcoming Events & Comprehensive Calendar
    • Publications