ELKHORN OPTIONS VIRTUAL CHARTER SCHOOL          
If you have any questions regarding this application or the Elkhorn OPtions Virtual Charter School please call us at the Elkhorn Area School District Office at 262-723-3160.

Please be sure to fill out this form completely, one child per form, thank you.    
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School Year Applying for
Which School Year Are You Applying For? *
Student Information
Student's Full Legal Name *
Include student's complete first, middle and last name
Student's Date of Birth *
Gender *
Student's Current Grade *
Resident Household Information
Parent/Guardian 1 Full Legal Name *
Relationship to Student *
Street Address *
City, State & Zip *
Phone Number 1 *
Phone Number 2
Email Address *
I currently reside in the Elkhorn Area School District *
Parent/Guardian 2 Full Legal Name
Relationship to Student
Street Address
City, State & Zip
Phone Number 1
Phone Number 2
Email Address
I currently reside in the Elkhorn Area School District
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Current Education
What School District is your student currently attending? *
Please check all that apply to your child's current educational programming/setting.  My child curently... *
Required
IEP or 504 *
If your student has or had an IEP or 504 please check all that apply below.
Meeting Arrangements
If your child is selected to participate in the Elkhorn OPtions Virtual Charter School, you will be contacted by one of our staff members.  We are eager to meet with you. At times, teachers or other administrators may need to meet with you or be present at your meeting.
When are you available to meet? *
Please include the best days and times you are available to meet so we can schedule an appointment.
Expulsion Information
If your child has ever been expelled from a program or school, please answer the following questions.  If your student has not please answer N/A:
What program or school was your child expelled from? *
What was the date of the explusion? *
What are the circumstances of the expulsion? *
Feedback
How did you learn about the Elkhorn OPtions Virtual Charter School? *
In what ways can the Elkhorn OPtions Vitual Charter School best support you and your child? *
Are there questions that you have for us? *
Please add any other comments that may be helpful. *
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