Mansfield R-IV School District
Virtual Learning Enrollment Form for Middle School
You must fill out a separate form for each student you are enrolling in Virtual Learning.
This form is for students entering 6-8 grades
Student's first name *
Student's last name *
Grade student will be entering during the 2020-2021 school year *
Name of legal guardian/parent completing this application *
Address *
Contact phone number(s) *
Please explain in detail the reason for choosing virtual school *
*I understand that my student will not be allowed to participate in extracurricular activities. This includes, but is not limited to, athletics, music competitions, field trips, etc. if they are enrolled in the Mansfield R-IV virtual learning program.
*I understand that enrollment in the virtual option is a commitment for at least a semester. Students enrolled in the virtual learning program will have the opportunity to return to seated courses at the end of each semester.
*I understand that the time required for completing course work virtually will be equivalent in both time and rigor as seated courses.
*I understand that credit acquisition and promotion is contingent upon successful completion of all course work and assessments as determined by the course instructor.
*I understand that some state and district level assessments may be required to be administered in person within the school building.
*I understand that students enrolled in a virtual program are still considered Mansfield R-IV students and therefore, are required to follow all district policies and code of conduct.
Will the student have access to adequate internet to participate in a virtual program and to complete assignments? *
Will the student have an appropriate device to participate in a virtual program and complete assignments? *
Virtual Learning Program Agreement *
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