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Columbus Virtual Pathway Application 2018-2019
This confidential application must be completed to enroll in BCSC's Columbus Virtual Pathway. Completion of the application does not obligate the student to attend the Columbus Virtual Pathway, nor does it guarantee admission.
As of August 28th we are FULL, and a wait list has been started.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Grade for 2018-2019 School Year *
Current School *
If you selected "Other", please list the name of the school here:
Your answer
Parent/Guardian Names *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone Contact
Your answer
Other Phone Contact *
Your answer
Parent/Guardian Email Address (Enter N/A if you do not have an email address) *
Your answer
Student Email Address (Enter N/A if you do not have an email address *
Your answer
Gender *
Does (or will) your student qualify for free OR reduced lunch prices? *
Does (or will) your student receive special education services (has an IEP)? *
Does (or will) your student receive English as a Second Language services? *
Why do you feel an online pathway is the best learning environment for this student? *
Your answer
Clicking "SUBMIT" at the end of this form will complete the application.
If you have any questions, please feel free to contact Angie Wieneke:
Cell: 812-350-6810
Email: wienekea@bcsc.k12.in.us
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