Virtual Instruction Enrollment
Explanation: virtual instruction will be provided through an outside vendor. K-8 will utilize Edmentum Maestro software and 9-12 students will use the Virtual Academy. Students will use the teachers provided by these agencies. Students that sign up for virtual instruction are required to use the software for a minimum of a semester unless circumstances are approved by the Superintendent. After completing this form, you will be contacted by the school corporation through phone.
Email address *
Name of student *
Name of parent/guardian *
Relationship to student
Name of other parent/guardian. Type N/A if the student only has one parent/guardian.
Phone number of parent/guardian
Email of parent/guardian
Address of student
Student's birthday
MM
/
DD
/
YYYY
Grade the student was in last year.
Clear selection
Gender of student
Clear selection
Reason for using virtual instruction *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy