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Application for Duncan Virtual Learning Program
Once this application is received, the student will have to remain in the virtual program until the end of the school year.
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I have read and agree to the terms of the Duncan Virtual Learning Program at
Student's First Name
Student's Last Name
Parent/ Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Phone Number
Student's Grade for 20-21
School student attended last year:
Will Rogers Pre K
Duncan Middle School
Duncan High School
We have access to a device:
We have reliable internet:
Student receives Special Education Services:
There will be an adult available to work with the student during the day for online curriculum and technology support:
Student would like to participate in the following extracurricular program(s) at DMS or DHS (7th-12th grade only)
Are you choosing the virtual option because of the Coronavirus?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Duncan Public Schools.