Columbus Virtual Academy Application
We're excited you've chosen Columbus Virtual Academy for your child's education!

Please complete this form to begin the enrollment process.

The form takes under five minutes to complete. All sections must be completed in order to submit your information. Partially completed forms cannot be saved. If you have more than one child, please complete a form for each child.

Enrollment type desired with Columbus Virtual Academy
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
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DD
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YYYY
Student's Gender *
Current Grade Level *
School student attended last year. *
Your answer
Street Address (No PO Box) *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Guardian First Name *
Your answer
Guardian Last Name *
Your answer
Guardian Phone *
Your answer
Guardian Email Address *
Your answer
Course Requested (AIG ONLY)
Your answer
Please enter your full name and date below. By entering your name and date below, you are stating that you have the legal authority to make educational decisions on behalf of the student you are registering. *
Your answer
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