2025-26 PMVS Enrollment Request form

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Please complete this form if you are requesting enrollment into Penn Manor Virtual School for the 2025-26 school year. Once received, Penn Manor will contact you regarding your request and to schedule a meeting.

School Counselor *

Mrs. Rogers

Mr. Brown

Mrs. Basile

Mrs. Wile

Mrs. Ulmer

Mrs. Long

Mrs. Best

Mrs. Ostrowski

Student Last Name *

Student First Name *

Student email address (id number@pennmanor.net) *

Grade level for 2025-26 school year *

Does your student have an IEP/504/GIEP? *

Yes-IEP

Yes-504

Yes-GIEP

None

Required

Parent/Guardian last name *

Parent/Guardian first name *

Parent/Guardian email address *

Parent/Guardian phone number *

I understand that I must remain a resident of the Penn Manor School District while my student(s) is enrolled in PMVS. If I move out of the district, I must notify the school district within two business days of moving. If I move out of district, PMVS courses will be disabled and I am responsible for enrolling my student(s) in the district in which I reside.

I understand that all new enrollments will be required to confirm residency with the district office prior to enrollment in PMVS.

I agree

Required

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