Online Learning Questionnaire and Contract
In order to participate in one of the district's online courses, it is required that students and parents review and complete this form so that we can improve the likelihood of success and to ensure we are meeting state requirements. 

A student may be prohibited from enrolling in a virtual course if the student failed a previous virtual course in the same subject during the two most recent academic years.

If taking more than two online classes, a counselor will contact the student to develop an educational development plan (EDP) to provide additional support. 
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Student last name
Student first name
Parent last name
Parent first name
Course Name(s)
Do you have internet access at home? *
I (your child) am comfortable using technology. *
Strongly Disagree
Strongly Agree
I (your child) am self motivated and can set a schedule and follow it. *
Strongly Disagree
Strongly Agree
I (your child) am willing to communicate with my teachers regularly and will respond promptly to communication. *
Strongly Disagree
Strongly Agree
I (your child) have someone at home that can help me if I need it.  *
Strongly Disagree
Strongly Agree
I (your child) think this online class(es) is the best option for me at this time.  *
Strongly Disagree
Strongly Agree
If taking more than two online courses, please explain why you think this is the best option for you (your child).  *
I have read and agree to the online learning contract
*Student name
I have read and agree to the online learning contract
*Parent name
Submit
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