Virtual Instruction Survey
As part of the Carroll County Public School's plan to ensure a safe and healthy return to school for the 2020-2021 school year, we are exploring the possibility of offering virtual instruction to students who are at a higher risk for severe illness, who reside with family members who may be at a higher risk for severe illness, or who otherwise feel uncomfortable participating in a traditional educational setting due to the COVID-19 Pandemic.

To help us plan and prepare for this possibility please complete the registration form below if you have serious intentions for your child to participate in a virtual instruction program to start the 2020-2021 school year.

In addition, to help you determine if virtual instruction is an appropriate choice for your student, please review "Virtual Instruction Guidelines" available at the following link prior to completing this registration form:

Virtual Instruction Guidelines:


I have read, understand, and agree to the understandings described in the "Virtual Instruction Guidelines" document that is linked above. *
Student's Full Name (First, Middle, and Last) *
For the upcoming school year (2020-2021), the student will be in: *
For the upcoming school year (2020-2021), the student will attend: *
Please provide a brief description why you have chosen to register your child for virtual instruction.
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