August 2017 Palm Beach Virtual School Interest Survey
This information is required to determine eligibility for virtual courses in grades 6 - 12.
Parents will be notified of acceptance via e-mail or phone.
If accepted, each student and a parent/guardian is REQUIRED to attend a face-to-face orientation.

ADMISSION TO PALM BEACH VIRTUAL SCHOOL AS A FULL TIME STUDENT IS NOT GUARANTEED.

Are you choosing to seek full-time enrollment in grades 6 - 12 beginning August 2017?
Full-time students are required to take all standardized tests. The parent is responsible for transportation to the zoned school.
What online program interests you most?
Information sessions will be held in June and July. You will learn and see how each courseware works. Which information session do you plan on attending?
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Date of Birth
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Student's Palm Beach County Student Number
Your answer
Last grade completed
Name of last school attended
Your answer
City of last school attended
Your answer
State of last school attended
Your answer
Last attendance date
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Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Phone Number
Your answer
How did you hear about Palm Beach Virtual School?
Your answer
What is the primary reason you are interested in full-time online education for your child?
Your answer
Is your child reading on or above grade level?
Is there an Individual Educational Plan (IEP), 504 plan other other needed accommodations for your child?
Add additional accommodation here
Your answer
If you would like to provide additional information, please enter it in the space below.
Your answer
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