Jefferson County Virtual Academy
Complete this form to let us know that you would like for your child to be considered for enrollment in the Jefferson County Virtual Academy (JCVA).

The Jefferson County School District is awaiting approval from the Tennessee Department of Education for the addition of a virtual school (JCVA). If the request for a virtual school program is approved, we will provide additional information to applicant families that have completed this form. District staff may reach out in the interim to discuss your interest. Please complete a form for each child in your household.

If approved, the JCVA will enroll students in grades 1-12. JCVA will NOT have a kindergarten option.
Email *
The Tennessee Department of Education released new virtual school guidance that has impact on 2021-2022 virtual options offered by all school districts in the state. The new guidance will require virtual programs to operate in a different manner than the previous year. The guidance at this point indicates students enrolled in a virtual program will not be eligible to be a student at their zoned school. The virtual school option as well as program structure is dependent on approval from the Tennessee Department of Education. Additional information regarding sports, extra curricular activities, and other student organizations is still being considered. Completing this application does not guarantee a spot in Jefferson County's virtual program. The state is set to issue authorizations in July 2021. *
Enrollment criteria will be utilized for JCVA applicants. Criteria includes ensuring students do not have academic, behavior, or attendance issues that would prevent progress in an independent learning environment. A parent/guardian must be willing to serve as the student's learning coach. This time commitment will vary depending on the grade level. Students in grades 1 - 5 must attend in person sessions once a week. All testing must be done in person. Additional in person support may be required for students who do not meet specific achievement thresholds. Additional criteria will be developed once the program receives approval from the Tennessee Department of Education. *
I am applying for the following reason(s): *
Please select all that apply.
Required
Student Last Name: *
Student First Name: *
Student Grade for the 2021 - 2022 School Year *
Student's Current School: *
Current Phone Number: *
Parent / Guardian Name: *
Does your child have or need a 504 plan or IEP for a disability, health or medical issue? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy