DeKalb Virtual Academy Application 2018-19 (2nd Semester ONLY)
Please complete the following application for DeKalb Virtual Academy. All fields must be completed to be considered for admission. An application must be submitted for each student.
Email address *
Currently enrolled in what school? *
Your answer
Grade Level for the 2018-19 School Year *
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Physical Address *
Your answer
Is this the Guardian's address? *
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Phone Number #1 *
Your answer
Phone Number #2 *
Your answer
Email Address *
Your answer
Have you been identified with Dyslexia? *
Are you served under a 504 plan? *
Are you served under an IEP? *
Have you had a Truancy referral or warning? *
Do you have a copy of your transcripts? *
Do you have a pending discipline issue or due process hearing? *
Do you have high-speed internet at your home? *
What kind of devices do you have at home? Check all that apply. *
Required
Is transportation available, by a guardian, for the student to attend meetings on DVA campus weekly and as required? *
Reasons for wanting to enroll in DVA: *
Your answer
A copy of your responses will be emailed to the address you provided.
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