D3 My Way Virtual School 2021-2022 High School Student Application
Please answer the following questions thoughtfully and thoroughly for enrollment in the D3 My Way Virtual School. Once your complete application has been processed, you will be contacted if additional information is needed to complete your student's application.
* Required
Email address
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Current School of Enrollment for 2021-2022
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Discovery High School
Mesa Ridge High School
Widefield High School
Homeschool
Other
If "other," please list the school and the school district your child is currently enrolled in:
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Your answer
Do you currently reside within Widefield School District 3 boundaries? If no, you will need to submit a boundary waiver for D3 My Way Virtual School by going to:
https://www.wsd3.org/department/student-registration
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Yes
No
Grade for the 2021-2022 school year
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9th
10th
11th
12th
Are you a returning D3 My Way student?
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Yes
No
Please indicate which D3 My Way academic model you want your child to participate in for the 2021-2022 school year:
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Enriched Virtual Model (Online instruction combined with 1 or 2 in-building sessions per week)
Virtual Model (Online instruction only)
Explain why you are interested in enrolling in D3 My Way Virtual School? (to be completed by the student)
*
Your answer
Describe any school related struggles you have experienced in the past year (to be completed by the student):
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Your answer
What challenges do you expect to encounter in an online learning environment (to be completed by the student)?
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Your answer
Please describe how D3 My Way teachers and staff can best support your unique learning needs (to be completed by the student):
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Your answer
Does your student have significant health issues?
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Yes
No
If you answered "yes" above, please explain:
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Your answer
Does your child have any of the following?
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Yes
No
Individualized Education Program (IEP)
504 Plan
Advanced Learning Plan (ALP)
Yes
No
Individualized Education Program (IEP)
504 Plan
Advanced Learning Plan (ALP)
First and last name of parent/guardian completing this form:
*
Your answer
Parent phone number
*
Your answer
Send me a copy of my responses.
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