CVS Enrollment Application
Complete this form in order to apply for full-time enrollment (3-12 grade students only). After this application has been processed, additional enrollment forms will be emailed to you accordingly.
Student's Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Email
Your answer
Student Home Phone
Your answer
Student Cell Phone
Your answer
Address (City, State, Zip) *
Your answer
Student Gender *
Current Grade Level *
Are you seeking to enroll for full-time or part-time? *
Current or Most Recently Attended School *
Your answer
Is the student currently employed? *
Indicate any Special Circumstances *
Required
Parent/Guardian Name (Last, First) *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Relationship to Student *
Your answer
Why are you looking to enroll as a full-time student in CVS? *
Your answer
Have you been enrolled in a full-time online school before? If so, tell us about your experience. *
Your answer
Have you taken online courses at any of your traditional, brick-and-mortar schools in the past? If so, tell us about your experience. *
Your answer
Tell us about yourself! What type of learner are you; what do you enjoy doing outside of school; share something unique about yourself; etc. *
Your answer
What are your goals for this coming school year and/or for after high school? *
Your answer
How did you hear about CVS? *
Required
How can we help you have a great experience at CVS? *
Your answer
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