West Shore School District - Online Learning (Cyber) Information Request
If you would like to find out more about our online learning (cyber) program, please complete this form and someone will contact you. NOTE: All students/parents/guardians must meet with a member our online learning staff before the registration process can begin. This form does not register your child for cyber.
Student's Last Name
Student's First Name
Parent's Last Name
Parent's First Name
Telephone Number (including area code)
Street Address (number, street name, apt number if applicable)
State (i.e. PA)
School in which student is currently enrolled
Cedar Cliff High School
Red Land High School
Allen Middle School
Crossroads Middle School
New Cumberland Middle School
An Elementary School at West Shore School District
My child currently attends a private "brick and mortar" school*
My child currently attends a cyber charter school*
My child currently attends a "brick and mortar" charter school*
Other (please explain below)
Grade Student is In
Does your child qualify for any of the following? (check at least one)
Free and/or Reduced Lunch
English as a Second Language / English Learner services
None of these
Non Binary / Third Gender
Prefer not to answer
Why do you want your child to attend our online program?
What makes your child a good candidate for online instruction?
Please give an email address with which you would like us to contact you. *If your child attends a school outside West Shore School District, please list the grade they will be entering in August 2017.
Is there anything else you would like us to know?
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