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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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Email *
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: *
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?
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A copy of your responses will be emailed to the address you provided.
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