Request for Virtual Learning 2021-22
Catholic School parents in the Diocese of Harrisburg may make an application for consideration for virtual learning for a child for the 2021-22 school year.  Applications will ONLY be considered for documented medical situations.  Please note that COVID-19 is not a sufficient reason in and of itself to warrant virtual learning for the 2021-22 school year.  

Please complete the Google Form application below. In addition, email all medical documentation to virtualrequest@hbgdiocese.org, with the subject line: “application for virtual learning.”  All necessary medical documentation must be attached as a PDF to the email. The Diocesan Reopening Committee for 2021-22, a group that consists of school leaders and medical professionals, will consider the applications.  All applications will be kept in confidence.  Applications will not be considered without an email providing the medical documentation.

Note that decisions will be made in consultation with the principal of the school the child attends and will depend, in part, on the ability of the school to accommodate the request.  Note, too, that, if the application is granted, permission to learn virtually can be withdrawn if the parents or student do not cooperate with the school’s expectations for virtual learning. Students who attend school virtually are ineligible for in-person extracurricular activities while attending virtually.  

*Requests for an extension to this deadline should be sent to virtualrequest@hbgdiocese.org with an explanation.

1) Student's Name *
2) Student's school name and location *
3) Student's gender *
4) Student's Age *
5) Student's rising grade level *
Obligatoria
6) Name of parent/guardian submitting this application *
7) Email for parent/guardian *
8) Cell phone for parent/guardian *
9) Date of application *
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10) Was this student a virtual learner in the 2020-21 school year? *
11) If the student was a virtual learner in the 2020-21 school year, for how long?
12) For what period of time are you requesting virtual learning for the 2021-22 school year? *
13) Do you agree to follow the school’s expectations for virtual learning? *
14) Give a brief summary of the reasons for your request for virtual learning for your child for 2021-22. *
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