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MCHS Virtual Learning Application
Thank you for taking the time to complete this application form to be considered for virtual learning enrollment at Madison County High School.   In being considered for approval for virtual learning the student's school record will be reviewed in its entirety including, but not limited to:  attendance, academic achievement and behavior.  Students applying for virtual learning should be able to learn independently, have strong organization skills, efficiently manage their time, and have access to the internet in order to attend school daily in a virtual setting.  Students and parents, regardless of virtual or in-person learning, are still held to compulsory attendance laws set forth by the State of Virginia

Application Deadlines:
25-26 School Year:  May 23, 2025
25-26 Second Semester:  December 1, 2025

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Student Last Name *
Student First Name *
Student Date of Birth *
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Current Enrollment Status *
Were you an approved virtual or hybrid virtual learning student for the '24-'25 school year? *
Grade Level for the 2025-2026 School Year *
Requested MCHS Learning Track *
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Requested Start Date *
Student and Family Constructed Response: 
- Why are you requesting virtual learning?
- What are your educational and career goals after high school? *
Parent/Guardian Email Address
Parent/Guardian Name *
Parent/Guardian Phone Number *
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