Cross County School District Virtual Learning Interest Survey
Parents and legal guardians, please fill out one form per student attending Cross County School District. This form is simply to gauge interest in a fully virtual learning option. Your response to this form is not binding, and more information will be released about in-person and fully virtual learning in the coming weeks.

Please note, fully virtual learning is for students requesting completely online learning during the 2020-2021 school year. Students who might be ill or quarantined during the school year do not need to apply for fully virtual learning.

Student Legal First Name *
Student Legal Last Name *
Student school in 2020-2021 *
Parent/Legal Guardian Name *
Parent/Legal Guardian Phone Number *
Please include telephone number area code in response.
What educational option is this student interested in for the 2020-2021 school year? *
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