Virtual School Intent to Enroll Form for January 2020
Please complete this form if you intend to enroll in Bentonville Schools Virtual School in January of 2020.
Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade for the Spring of 2020- *
Where are you currently enrolled? *
Reason for Choosing 100% Online *
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
Phone *
Your answer
Name of Parent(s)/Guardian(s) *
Your answer
A copy of your responses will be emailed to the address you provided.
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