Chestnut Ridge Virtual Academy Student Application 5-7
Student First Name
Student Last Name
Are you currently enrolled in the Chestnut Ridge School District
If you answered no to the previous question, what school district are you currently enrolled in
This is also you lunch #
Date of Birth
Grade Level for 2018-2019 School Year
Does the student have an IEP (Individualized Education Program)
Please indicate your registration status
Full Time Cyber
Blended (traditional classes plus cyber at home)
Do you have high speed internet access at home?
Do you have a computer at home or would you be in need of a district issued laptop?
Is a parent or guardian at home throughout the school day?
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